Individual
MR. CHARLES JEFFREY MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5177 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 738-6300
(765) 838-6302
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01053447A
IN
207V00000X
Obstetrics & Gynecology Physician
9801415
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000848856
ANTHEM PIN NUMBER
IN
01
—
14517
BCBS
NC
05
—
200328930
—
IN
05
—
5907266
—
NC
Enumeration date
05/23/2006
Last updated
01/28/2021
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