Charles F Motley Pc

LBN: Charles F Motley Pc
Charles F Motley Pc is an health care organization with primary practice located at 6916 W Johnson Rd , La Porte IN 46350-6548. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Charles F Motley Pc can be contacted via phone (219) 872-7247, or through Motley, Charles F via phone (219) 872-7247.

Contact Information

Primary practice address
6916 W Johnson Rd La Porte IN 46350-6548
Phone: (219) 872-7247
Fax: (219) 879-8609
Website:
Map and Directions
Authorized official contact:
Name: Motley, Charles F Doctor of Medicine (MD)
Phone: (219) 872-7247

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1538401286
LBN Legal business name Charles F Motley Pc
DBA Doing business as
Authorized official Motley, Charles F Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2013
Last updated Sep 24th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538401286 NPPES
Indiana MEDICAID 100163900A

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