Dr. Charles William Bartholome
Dermatologist Dermatopathologist MOHS-Micrographic Surgeon
1808 W Royale Dr
Muncie
, Indiana 47304-2243
Dr. Charles William Bartholome
Dermatologist Dermatopathologist MOHS-Micrographic Surgeon
1808 W Royale Dr
Muncie
, Indiana 47304-2243
(765) 282-7242
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
- Dermatopathologist
Languages spoken
- English
Location
First Address
- Dr. Charles William Bartholome
- 1808 W Royale Dr
- Muncie, IN
- Zip : 47304-2243
- Fax : (765) 282-7242
- Phone : (765) 288-8188
Second Address
- Dr. Charles William Bartholome
- 1808 W Royale Dr
- Muncie, IN
- Zip : 47304-2243
- Fax : (765) 282-7242
- Phone : (765) 288-8188
Reviews
FAQs
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Is Dr. Charles William Bartholome a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 100348140 | IN |
| N | 207ND0101X | MOHS-Micrographic Surgeon | 100348140 | IN |
| N | 207ND0900X | Dermatopathologist | 100348140 | IN |
National Provider Identifier
| NPI | 1487656443 |
|---|---|
| Provider Name | Dr. Charles William Bartholome |
| First Address | Muncie, IN 47304-2243 |
| Second Address | Muncie, IN 47304-2243 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/06/2005 |
| Last Update Date | 29/05/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000084070 | BLUE CROSS/BLUE SHIELD (01) | IN |
| 070002789 | RAILROAD MEDICARE (01) | |
| 100348140 | (05) | IN |
| E08081 | (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.