Dr. Charles R Pattan
Family Doctor Obstetrician & Gynecologist
11050 Parkview Circle Dr
Fort Wayne
, Indiana 46845
Dr. Charles R Pattan
Family Doctor Obstetrician & Gynecologist
11050 Parkview Circle Dr
Fort Wayne
, Indiana 46845
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About
Features
Specialties
- Family Doctor
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- Dr. Charles R Pattan
- 3702 New Vision Dr Bldg B
- Fort Wayne, IN
- Zip : 46845-1703
- Phone :
Second Address
- Dr. Charles R Pattan
- 11050 Parkview Circle Dr
- Fort Wayne, IN
- Zip : 46845
- Fax : (260) 266-8941
- Phone : (833) 724-8326
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 4301051609 | MI |
| Y | 207V00000X | Obstetrician & Gynecologist | 01082842A | IN |
| N | 207V00000X | Obstetrician & Gynecologist | 4301051609 | MI |
National Provider Identifier
| NPI | 1003964784 |
|---|---|
| Provider Name | Dr. Charles R Pattan |
| First Address | Fort Wayne, IN 46845-1703 |
| Second Address | Fort Wayne, IN 46845 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/01/2007 |
| Last Update Date | 22/11/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2989963 | (05) | MI |
| F52678 | (02) |
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.