Scanlon, John Charles
Scanlon, John Charles is an individual health care provider with primary practice located at 1500 Salem St , Lafayette IN 47904-2164. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Scanlon, John Charles can be contacted via phone (765) 448-8000.Contact Information
Primary practice address
1500 Salem St
Lafayette IN 47904-2164
Phone: (765) 448-8000
Fax: (765) 448-7631
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 01023751A | Indiana |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 01023751A | Indiana |
Profile Details
| NPI number | 1073582623 |
|---|---|
| LBN Legal business name | Scanlon, John Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Jul 23rd, 2012 - about 13 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 | 1073582623 | NPPES |
| Indiana | MEDICAID | 100231140 | |
| Indiana | Other | 000000191108 | |
| Indiana | Other | 10825885 | |
| Indiana | MEDICAID | SC80461029 | |
| Indiana | Other | 9397438 |
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