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Contact Information

CHARLES L ELLIOTT, MD
138 N DIXON RD
KOKOMO, IN46901
 Phone: 765-236-8282
 Fax: 855-332-8084
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for CHARLES L ELLIOTT · (Male)

NPI # 1144226317
Status Active
Credentials MD
Entity Individual
Enumeration date 06/22/2005
Last updated 06/20/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01031986A
  • IN Medicaid 100228140
Hospital affiliation(s)
  • ST JOSEPH HOSPITAL & HEALTH CENTER INC - (Acute Care)
    1907 W SYCAMORE ST
    KOKOMO, IN 46904
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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