Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2082S0105X | Plastic Hand Surgeon | 29607 | KY |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 29607 | KY |
NPI | 1194724997 |
---|---|
Provider Name | Dr. Mark E. Chariker |
First Address | Louisville, KY 40202-1350 |
Second Address | Louisville, KY 40202-1350 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2005 |
Last Update Date | 03/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000206969 | ANTHEM (01) | KY |
200236700A | (05) | IN |
64006828 | (05) | KY |
C60750 | (02) | KY |