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Individual

CHARLES T WEBSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
321 MITCHELL AVE, BATESVILLE, IN 47006-8909
(812) 212-0692
Mailing address
1788 BEBB PARK LN, OKEANA, OH 45053-9321
(513) 295-5797

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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