Kutzscher, Ethan Matthew

Kutzscher, Ethan Matthew is an individual health care provider with primary practice located at 320 Lennon Ln , Walnut Creek CA 94598-2419. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kutzscher, Ethan Matthew can be contacted via phone (925) 906-2010.

Contact Information

Primary practice address
320 Lennon Ln Walnut Creek CA 94598-2419
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X A71949 California

Profile Details

NPI number 1700881661
LBN Legal business name Kutzscher, Ethan Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jan 4th, 2022 - about 2 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 1700881661 NPPES
California Other 20-0021161 TAXI ID NUMBER

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