Individual
DR. CHARLES ALFRED ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2835 US HIGHWAY 35 N, RICHMOND, IN 47374-9706
(765) 962-4308
(765) 962-4308
Mailing address
2835 US HIGHWAY 35 N, RICHMOND, IN 47374-9706
(765) 962-4308
(765) 962-4308
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08000674
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000079299
BLUE CROSS BLUE SHIELD
IN
Enumeration date
04/19/2007
Last updated
07/08/2007
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