MEDICARE: CHARLOTTE JOY ALEXANDRA STEELE-MORRIS 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
1	208000000X	Pediatrics Physician	01036352A	IN

General Provider Information

NPI Number	:	1235680224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLOTTE JOY ALEXANDRA STEELE-MORRIS M.D.

Provider Business Mailing Address
First Line	:	339 FERNLEAF DR
Second Line	:
City	:	WEST LAFAYETTE
State	:	IN
Zip	:	47906-2180
Country	:	US
Telephone Number	:	765-494-8588
Fax Number	:

Provider Business Practice Location Address
First Line	:	715 CLINIC DR
Second Line	:	PURDUE UNIVERSITY, LYLES-PORTER HALL
City	:	WEST LAFAYETTE
State	:	IN
Zip	:	47907-2122
Country	:	US
Telephone Number	:	765-494-8588
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2016
Last Update Date	:	10/14/2016

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