Cutler, Edward

Cutler, Edward is an individual health care provider with primary practice located at 724 S Central Ave Ste 206 , Medford OR 97501-7833. He recently has only one registered license in Allopathic & Osteopathic Physicians / Phlebology, which is considered as his primary health care specialty. Cutler, Edward can be contacted via phone (541) 702-1923.

Contact Information

Primary practice address
724 S Central Ave Ste 206 Medford OR 97501-7833
Fax: (541) 727-6640
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Phlebology 202K00000X 38D2120916 Oregon

Profile Details

NPI number 1720688021
LBN Legal business name Cutler, Edward
Credentials CPCT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2020
Last updated Oct 27th, 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 1720688021 NPPES
Oregon Other 38D2120916 CLIA WAIVER CERT

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