Clutter, Donald J

Clutter, Donald J is an individual health care provider with primary practice located at 1561 Creekside Dr Ste 180 , Folsom CA 95630-3495. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery is his primary health care specialty. Clutter, Donald J can be contacted via phone (916) 984-8830.

Contact Information

Primary practice address
1561 Creekside Dr Ste 180 Folsom CA 95630-3495
Phone: (916) 984-8830
Fax: (916) 984-8834
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X C40784 California
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X C40784 California

Profile Details

NPI number 1598768277
LBN Legal business name Clutter, Donald J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Oct 30th, 2020 - about 6 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 1598768277 NPPES
California Other 040007824 RR MEDICARE PIN

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