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Contact Information

CHARLES TATTERSALL M D
8865 W 400 N
SUITE 175
MICHIGAN CITY, IN46360-9222
 Phone: 219-877-2225
 Fax: 219-877-2230
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for CHARLES TATTERSALL M D

NPI # 1700999711
LBN Legal business name CHARLES TATTERSALL M D
Authorized official CHARLES TATTERSALL - (SOLE MEMBER/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/16/2006
Last updated 06/25/2008 - About 18 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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