Organization
CHARLES E SHEARER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH TAYLOR (INSURANCE)
(574) 255-3180
Entity
Organization
Contact information
Practice address
517 LINCOLNWAY E, MISHAWAKA, IN 46544-2211
(574) 255-6363
(574) 255-4182
Mailing address
517 LINCOLNWAY E, MISHAWAKA, IN 46544-2211
(574) 255-6363
(574) 255-4182
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
18001872B
IN
Other
Enumeration date
03/06/2008
Last updated
03/06/2008
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