Gullett, Adam Neil

Gullett, Adam Neil is an individual health care provider with primary practice located at 2330 Howard Ave , Centralia WA 98531-3622. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Gullett, Adam Neil can be contacted via phone (360) 807-4230.

Contact Information

Primary practice address
2330 Howard Ave Centralia WA 98531-3622
Phone: (360) 807-4230
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT00008547 Washington

Profile Details

NPI number 1528041910
LBN Legal business name Gullett, Adam Neil
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Jun 1st, 2021 - about 4 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 1528041910 NPPES
Washington MEDICAID 8333346

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