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Dermatology Clinic of Muncie, Inc.

NPI 1477647303ActiveOrganization· Dermatology· Muncie, IN

Dermatology in Muncie, Indiana, registered in NPPES in October 2006. The authorized official on file is Charles William Bartholome, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1477647303
StatusActive
Entity typeOrganization
NPI issuedOct 3, 2006
Last updated in NPPESOct 18, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Dermatology Primary207N00000X50001481AIN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (IN)

Medicare sources and data years

Other Dermatology providers in Muncie

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