Search › Indiana › 207R00000X
Charles Shofner
NPI 1912563594 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1481 W 10th St
Indianapolis, IN 46202 - Phone
- (317) 554-0000
- Organisation at this address
- Va Medical Center
Indianapolis Vamc
Indianapolis Vamc
V A Medical Center
Department Of Veterans AffairsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 981
Additional practice sites
- 500 S Preston St Rm 305, Louisville, KY
- 705 Riley Hospital Dr Rm 5837, Indianapolis, IN
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 208000000X
390200000X
390200000X - Licence states on file
- IN, KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana