Individual
MR. CHARLES ROBERT ABBOTT I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
636 N EUCLID AVE, INDIANAPOLIS, IN 46201-2731
(317) 498-3361
Mailing address
636 N EUCLID AVE, INDIANAPOLIS, IN 46201-2731
(317) 498-3361
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27040107A
IN
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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