Stoer, Charles Blanchard

Stoer, Charles Blanchard is an individual health care provider with primary practice located at 4525 Sw 13Th St , Gainesville FL 32608-3901. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Stoer, Charles Blanchard can be contacted via phone (352) 377-8619.

Contact Information

Primary practice address
4525 Sw 13Th St Gainesville FL 32608-3901
Fax: (352) 371-9674
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME0044326 Florida
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X ME0044326 Florida

Profile Details

NPI number 1164550232
LBN Legal business name Stoer, Charles Blanchard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Jan 18th, 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 1164550232 NPPES
Florida MEDICAID 040704600

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