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NPI Code Detail

MEDICARE: CHARLES W NOBLE II M.D.

MEDICARE: CHARLES W NOBLE II M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0001XClinical Cardiac Electrophysiology Physician35062851OH
2207RC0000XCardiovascular Disease Physician35062851OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841291945
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES W NOBLE II M.D.
Provider Business Mailing Address
First Line : 5825 WESTBOURNE AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-1459
Country : US
Telephone Number : 614-464-0884
Fax Number : 614-464-3440
Provider Business Practice Location Address
First Line : 5825 WESTBOURNE AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-1459
Country : US
Telephone Number : 614-464-0884
Fax Number : 614-464-3440
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 04/16/2014

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