Crapotta, Charles

Crapotta, Charles is an individual health care provider with primary practice located at 773 Isabella Way , Fairfield CA 94533-7200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Crapotta, Charles can be contacted via phone (707) 428-6055.

Contact Information

Primary practice address
773 Isabella Way Fairfield CA 94533-7200
Phone: (707) 428-6055
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G70028 California

Profile Details

NPI number 1932108362
LBN Legal business name Crapotta, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Apr 7th, 2008 - about 18 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 1932108362 NPPES
California MEDICAID 00G700281

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