Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 01061854A | IN |
N | 207YS0123X | Facial Plastic Surgeon | 01061854A | IN |
NPI | 1801829809 |
---|---|
Provider Name | Burke E Chegar |
First Address | Connersville, IN 47331 |
Second Address | Connersville, IN 47331 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 25/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
132590WW | (02) | IN |
200823120 | (05) | IN |
I30424 | (02) |