Gullatt, Thomas James

Gullatt, Thomas James is an individual health care provider with primary practice located at 309 Jackson St , Monroe LA 71201-7407. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Gullatt, Thomas James can be contacted via phone (318) 966-4541.

Contact Information

Primary practice address
309 Jackson St Monroe LA 71201-7407
Fax: (319) 966-4543
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD.017828 Louisiana
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 17828 Louisiana

Profile Details

NPI number 1154487627
LBN Legal business name Gullatt, Thomas James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated Aug 8th, 2022 - about 2 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 1154487627 NPPES
Mississippi MEDICAID 09333871
Mississippi MEDICAID 1384810

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