Cloutier, Charles Garrison

Cloutier, Charles Garrison is an individual health care provider with primary practice located at 461 E Main St , Prattville AL 36067-3409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cloutier, Charles Garrison can be contacted via phone (334) 351-2040.

Contact Information

Primary practice address
461 E Main St Prattville AL 36067-3409
Phone: (334) 351-2040
Fax: (334) 351-2047
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10751 Alabama

Profile Details

NPI number 1427044395
LBN Legal business name Cloutier, Charles Garrison
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Feb 19th, 2020 - about 5 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 1427044395 NPPES
Alabama Other 51013871 BLUE CROSS BLUE SHIELD
Alabama Other 011084 BLUE CROSS BLUE SHIELD
Alabama MEDICAID 009952895 BLUE CROSS BLUE SHIELD

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