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Individual
CHARLES T WEBSTER
Active
Individual
CHARLES T WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01061131A
IN
207Q00000X
Family Medicine Physician
Primary
01061131A
IN
207R00000X
Internal Medicine Physician
51999
KY
208M00000X
Hospitalist Physician
51999
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000291736
BC BS
—
05
—
200328960
—
IN
05
—
2197733
—
OH
01
—
P00243873
RR MCR
—
Enumeration date
11/15/2005
Last updated
03/17/2022
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