Provider Demographics
NPI:1407280027
Name:WHEELER, CHARLOTTE (MD, MPH)
Entity Type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:
Last Name:WHEELER
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 588500
Mailing Address - Street 2:CCHCS PUBLIC HEALTH UNIT
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-8500
Mailing Address - Country:US
Mailing Address - Phone:916-261-5519
Mailing Address - Fax:916-691-6810
Practice Address - Street 1:9260 LAGUNA SPRINGS DR
Practice Address - Street 2:CCHCS PUBLIC HEALTH UNIT
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-7947
Practice Address - Country:US
Practice Address - Phone:916-261-5519
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-30
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA0636182083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine