Morrison, Charles Lamont

Morrison, Charles Lamont is an individual health care provider with primary practice located at 7988 W Jefferson Blvd , Fort Wayne IN 46804-4140. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Morrison, Charles Lamont can be contacted via phone (260) 436-0259.

Contact Information

Primary practice address
7988 W Jefferson Blvd Fort Wayne IN 46804-4140
Phone: (260) 436-0259
Fax: (260) 436-0784
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 01063534A Indiana

Profile Details

NPI number 1265636138
LBN Legal business name Morrison, Charles Lamont
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2007
Last updated Jan 31st, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265636138 NPPES
Indiana MEDICAID 200868500

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