Stutzman, Charles D.

Stutzman, Charles D. is an individual health care provider with primary practice located at 4650 Jefferson Ln Ne , Albuquerque NM 87109-2127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Stutzman, Charles D. can be contacted via phone (505) 727-7900.

Contact Information

Primary practice address
4650 Jefferson Ln Ne Albuquerque NM 87109-2127
Phone: (505) 727-7900
Fax: (505) 727-7942
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 87-159 New Mexico

Profile Details

NPI number 1710981147
LBN Legal business name Stutzman, Charles D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Sep 29th, 2015 - about 10 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 1710981147 NPPES
New Mexico MEDICAID 00039651
New Mexico Other 300068898

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