Taylor, Charles R

Taylor, Charles R is an individual health care provider with primary practice located at 300 E Boyd Ave Ste 201 , Greenfield IN 46140-2818. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Taylor, Charles R can be contacted via phone (317) 462-5112.

Contact Information

Primary practice address
300 E Boyd Ave Ste 201 Greenfield IN 46140-2818
Phone: (317) 462-5112
Fax: (317) 462-5122
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01030677A Indiana
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01030677A Indiana
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 01030677A Indiana

Profile Details

NPI number 1174589444
LBN Legal business name Taylor, Charles R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jul 22nd, 2022 - about 4 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 1174589444 NPPES
Indiana MEDICAID 100127700

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