Charles Wallace Zollman
Plastic and Reconstructive Surgery
8227 Northwest Blvd Suite 290
Indianapolis
, Indiana 46278-1387
Charles Wallace Zollman
Plastic and Reconstructive Surgery
8227 Northwest Blvd Suite 290
Indianapolis
, Indiana 46278-1387
(317) 334-9228
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Charles Wallace Zollman
- 8227 Northwest Blvd Suite 290
- Indianapolis, IN
- Zip : 46278-1387
- Fax : (317) 334-9228
- Phone : (317) 328-1100
Second Address
- Charles Wallace Zollman
- 8227 Northwest Blvd Suite 290
- Indianapolis, IN
- Zip : 46278-1387
- Fax : (317) 334-9228
- Phone : (317) 328-1100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 01023513A | IN |
National Provider Identifier
| NPI | 1083715510 |
|---|---|
| Provider Name | Charles Wallace Zollman |
| First Address | Indianapolis, IN 46278-1387 |
| Second Address | Indianapolis, IN 46278-1387 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/09/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| B28262 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.