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
Phone: (918) 786-8448
Fax: (918) 786-3483
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609874346 | NPPES |
Oklahoma | MEDICAID | 100229210B | |
Oklahoma | Other | 0337370001 | |
Oklahoma | Other | 080029338 |
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