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
Phone: (407) 862-4242
Fax: (407) 862-9616
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295767697 | NPPES |
| Florida | Other | 48736 | BCBS |
| Florida | MEDICAID | 051371700 | BCBS |
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