Kelsey, Charles Lamoine
Kelsey, Charles Lamoine is an individual health care provider with primary practice located at 10910 Us Highway 24 W Unit A, Fort Wayne IN 46814-8157. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kelsey, Charles Lamoine can be contacted via phone (260) 432-8777.Contact Information
Primary practice address
10910 Us Highway 24 W Unit A
Fort Wayne IN 46814-8157
Phone: (260) 432-8777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 08000637A | Indiana |
Profile Details
| NPI number | 1780636951 |
|---|---|
| LBN Legal business name | Kelsey, Charles Lamoine |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Jul 14th, 2016 - about 10 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 | 1780636951 | NPPES |
| Indiana | MEDICAID | 100253370 |
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