Chouteau, Charles Joseph

Chouteau, Charles Joseph is an individual health care provider with primary practice located at 1121 Neo Loop , Grove OK 74344-6046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Chouteau, Charles Joseph can be contacted via phone (918) 786-8448.

Contact Information

Primary practice address
1121 Neo Loop Grove OK 74344-6046
Fax: (918) 786-3483
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12203 Oklahoma

Profile Details

NPI number 1609874346
LBN Legal business name Chouteau, Charles Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Mar 25th, 2015 - about 9 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 1609874346 NPPES
Oklahoma MEDICAID 100229210B
Oklahoma Other 0337370001
Oklahoma Other 080029338

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