SearchIndiana207Q00000X

Douglas Charlesworth

NPI 1508875071 · on the registry since 2006 · sole proprietor

Practice

Address
2104 W Saybrook Dr
Goshen, IN 46528
Phone
(574) 534-4023

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana