Stotler, Charles Wilbur

Stotler, Charles Wilbur is an sole proprietor health care provider with primary practice located at 334 Bloomfield St Ste 205, Johnstown PA 15904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Stotler, Charles Wilbur can be contacted via phone (814) 266-8686.

Contact Information

Primary practice address
334 Bloomfield St Ste 205 Johnstown PA 15904
Fax: (814) 266-6478
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD017069E Pennsylvania

Profile Details

NPI number 1114998333
LBN Legal business name Stotler, Charles Wilbur
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2006
Last updated Apr 6th, 2015 - 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 1114998333 NPPES
Pennsylvania MEDICAID 000746670003

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