Provider Demographics
NPI:1245231265
Name:SLOANE, CHARLES E (MD)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:E
Last Name:SLOANE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 850
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:16262-0850
Mailing Address - Country:US
Mailing Address - Phone:724-543-3663
Mailing Address - Fax:724-545-6905
Practice Address - Street 1:100 PARKVIEW DR
Practice Address - Street 2:STE 2
Practice Address - City:KITTANNING
Practice Address - State:PA
Practice Address - Zip Code:16201-7138
Practice Address - Country:US
Practice Address - Phone:724-645-3663
Practice Address - Fax:724-545-6905
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA023414E208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
20476OtherHEALTH ASSURANCE
20476OtherHEALTH AMERICA
250482OtherUPMC
1367605OtherUMW
P020162OtherCHAMPUS
250482OtherUPMC
20476OtherHEALTH ASSURANCE