Kotal, Charles Vladimir
Kotal, Charles Vladimir is an individual health care provider with primary practice located at 912 32Nd St. Ste A, Anacortes WA 98221. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kotal, Charles Vladimir can be contacted via phone (360) 416-5750.Contact Information
Primary practice address
912 32Nd St. Ste A
Anacortes WA 98221
Phone: (360) 416-5750
Fax: (360) 416-5758
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00035345 | Washington |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD00035345 | Washington |
Profile Details
| NPI number | 1104888361 |
|---|---|
| LBN Legal business name | Kotal, Charles Vladimir |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2006 |
| Last updated | May 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104888361 | NPPES |
| Washington | MEDICAID | 8229627 | |
| Washington | Other | GAB33047 |
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