Individual
BENJAMIN S ZACHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
(317) 838-4751
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
02004285
IN
207P00000X
Emergency Medicine Physician
Primary
02004285A
IN
207P00000X
Emergency Medicine Physician
OTO10875
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201248390
—
IN
Enumeration date
05/18/2007
Last updated
11/22/2022
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