Gulledge, William Ralph
Gulledge, William Ralph is an sole proprietor health care provider with primary practice located at 2548 Anasazi Way , Springdale UT 84767. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Gulledge, William Ralph can be contacted via phone (817) 921-4191.Contact Information
Primary practice address
2548 Anasazi Way
Springdale UT 84767
Phone: (817) 921-4191
Fax: (866) 221-1446
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | E9213 | Texas |
Profile Details
| NPI number | 1164418364 |
|---|---|
| LBN Legal business name | Gulledge, William Ralph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Jul 14th, 2015 - about 10 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 | 1164418364 | NPPES |
| Texas | MEDICAID | PO84931FG |
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