Bakota Gutierrez, Jill M

Bakota Gutierrez, Jill M is an individual health care provider with primary practice located at Martin Army Community Hospital 6600 Van Aalst Blvd, Bldg 9250, Fort Moore GA 31905. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Bakota Gutierrez, Jill M can be contacted via phone (762) 408-3498.

Contact Information

Primary practice address
Martin Army Community Hospital 6600 Van Aalst Blvd, Bldg 9250 Fort Moore GA 31905
Phone: (762) 408-3498
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 8634 TG Texas
Eye and Vision Services Providers / Optometrist 152W00000X OPT002625 Georgia
Eye and Vision Services Providers / Optometrist 152W00000X 0002964 Colorado
Eye and Vision Services Providers / Optometrist 152W00000X 046010341 Illinois

Profile Details

NPI number 1932412871
LBN Legal business name Bakota Gutierrez, Jill M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2010
Last updated Mar 11th, 2024 - about last year

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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