Chutinan, T Terry

Chutinan, T Terry is an sole proprietor health care provider with primary practice located at 800 N State Road 434 Suite 4, Altamonte Springs FL 32714-7041. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Chutinan, T Terry can be contacted via phone (407) 862-4242.

Contact Information

Primary practice address
800 N State Road 434 Suite 4 Altamonte Springs FL 32714-7041
Fax: (407) 862-9616
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME23398 Florida

Profile Details

NPI number 1295767697
LBN Legal business name Chutinan, T Terry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2006
Last updated Dec 30th, 2014 - about 10 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 1295767697 NPPES
Florida Other 48736 BCBS
Florida MEDICAID 051371700 BCBS

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