| Charles F Hasbrook MD PC | |
|
1670 W 86th St Indianapolis IN 46260-2182 | |
| (317) 875-5166 | |
| (317) 876-1670 |
| Full Name | Charles F Hasbrook MD PC |
|---|---|
| Speciality | Clinic/Center |
| Location | 1670 W 86th St, Indianapolis, Indiana |
| Authorized Official Name and Position | Charles F Hasbrook (PRESIDENT) |
| Authorized Official Contact | 3178755166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles F Hasbrook MD PC 1670 W 86th St Indianapolis IN 46260-2182 Ph: (317) 875-5166 | Charles F Hasbrook MD PC 1670 W 86th St Indianapolis IN 46260-2182 Ph: (317) 875-5166 |
| NPI Number | 1164699971 |
|---|---|
| Provider Enumeration Date | 05/12/2008 |
| Last Update Date | 01/04/2024 |
| Certification Date | 01/04/2024 |
| Medicare PECOS PAC ID | 8224224209 |
|---|---|
| Medicare Enrollment ID | O20150714002465 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164699971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 01027070 (Indiana) | Primary |
| Provider Name | Charles F Hasbrook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760580526 PECOS PAC ID: 0840486825 Enrollment ID: I20101202000636 |
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