Sutter, Charles William

Sutter, Charles William is an individual health care provider with primary practice located at 2261 Douglas Blvd , Roseville CA 95661-3831. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sutter, Charles William can be contacted via phone (916) 783-7109.

Contact Information

Primary practice address
2261 Douglas Blvd Roseville CA 95661-3831
Phone: (916) 783-7109
Fax: (916) 783-0801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G37234 California

Profile Details

NPI number 1265415426
LBN Legal business name Sutter, Charles William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Nov 30th, 2007 - about 17 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 1265415426 NPPES
California MEDICAID 00G372340

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