Katz, Charles Darrell

Katz, Charles Darrell is an individual health care provider with primary practice located at 9450 S 1300 E , Sandy UT 84094-5555. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Katz, Charles Darrell can be contacted via phone (801) 501-6200.

Contact Information

Primary practice address
9450 S 1300 E Sandy UT 84094-5555
Fax: (801) 501-6210
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X H0511 Texas

Profile Details

NPI number 1922091230
LBN Legal business name Katz, Charles Darrell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Jan 21st, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922091230 NPPES
Texas MEDICAID 039086601

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