Guerrier, Marie Kettly
Guerrier, Marie Kettly is an individual health care provider with primary practice located at 3441 Se Willoughby Blvd , Stuart FL 34994-5060. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Guerrier, Marie Kettly can be contacted via phone (772) 221-4030.Contact Information
Primary practice address
3441 Se Willoughby Blvd
Stuart FL 34994-5060
Phone: (772) 221-4030
Fax: (772) 221-4041
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME67145 | Florida |
Profile Details
NPI number | 1508825779 |
---|---|
LBN Legal business name | Guerrier, Marie Kettly |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 17th, 2006 |
Last updated | Dec 28th, 2007 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1508825779 | NPPES |
Florida | Other | 31628 | BCBS PROVIDER # |
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