Chube, Charles Randall
Chube, Charles Randall is an sole proprietor health care provider with primary practice located at 9339 Calumet Ave Ste A , Munster IN 46321-2879. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Chube, Charles Randall can be contacted via phone (219) 513-8275.Contact Information
Primary practice address
9339 Calumet Ave Ste A
Munster IN 46321-2879
Phone: (219) 513-8275
Fax: (219) 595-5436
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01045841A | Indiana |
Profile Details
| NPI number | 1689670721 |
|---|---|
| LBN Legal business name | Chube, Charles Randall |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Mar 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689670721 | NPPES |
| Indiana | MEDICAID | 200125320A | |
| Indiana | Other | 01045841 |
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