Beutner, Karl Reinhard

Beutner, Karl Reinhard is an individual health care provider with primary practice located at 480 Chadbourne Rd Suite 201, Fairfield CA 94534-9647. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Beutner, Karl Reinhard can be contacted via phone (707) 399-4500.

Contact Information

Primary practice address
480 Chadbourne Rd Suite 201 Fairfield CA 94534-9647
Phone: (707) 399-4500
Fax: (707) 399-9527
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G43543 California
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X G43543 California

Profile Details

NPI number 1649217936
LBN Legal business name Beutner, Karl Reinhard
Credentials M.D. PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Mar 10th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649217936 NPPES
California Other ZZZ97788Z MEDICARE GROUP PTAN
California MEDICAID GR0023150 MEDICARE GROUP PTAN

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