Metzger, Charles Kenneth

Metzger, Charles Kenneth is an individual health care provider with primary practice located at 412 W Carroll Ave Ste 200, Glendora CA 91741-4240. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Metzger, Charles Kenneth can be contacted via phone (626) 335-0228.

Contact Information

Primary practice address
412 W Carroll Ave Ste 200 Glendora CA 91741-4240
Phone: (626) 335-0228
Fax: (626) 914-9611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X G25299 California

Profile Details

NPI number 1992796411
LBN Legal business name Metzger, Charles Kenneth
Credentials MD MBA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Jul 8th, 2007 - about 19 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 1992796411 NPPES
California MEDICAID ZZZ72637Z

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