Gulish, Jesse

Gulish, Jesse is an individual health care provider with primary practice located at 205 Hospital Dr Ste A , Mc Kenzie TN 38201-1649. He recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Orthopedic Assistant, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Technologists, Technicians & Other Technical Service Providers / Surgical Assistant. Technologists, Technicians & Other Technical Service Providers / Surgical Assistant is his primary health care specialty. Gulish, Jesse can be contacted via phone (731) 352-7907.

Contact Information

Primary practice address
205 Hospital Dr Ste A Mc Kenzie TN 38201-1649
Phone: (731) 352-7907
Fax: (731) 352-4459
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Orthopedic Assistant 246ZX2200X 820 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 820 Tennessee
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 820 Tennessee

Profile Details

NPI number 1225452550
LBN Legal business name Gulish, Jesse
Credentials OPA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2014
Last updated Mar 29th, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225452550 NPPES
Tennessee MEDICAID 3380640

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