Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 12010356A | IN |
NPI | 1083773303 |
---|---|
Provider Name | Dr. Charles Foulke Hine |
First Address | Indianapolis, IN 46237-9412 |
Second Address | Indianapolis, IN 46237-9412 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2006 |
Last Update Date | 08/07/2007 |