Gullett, Christopher J.
Gullett, Christopher J. is an individual health care provider with primary practice located at 7910 W Jefferson Blvd Ste 102 , Fort Wayne IN 46804-4159. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Gullett, Christopher J. can be contacted via phone (260) 458-3555.Contact Information
Primary practice address
7910 W Jefferson Blvd Ste 102
Fort Wayne IN 46804-4159
Phone: (260) 458-3555
Fax: (260) 458-3530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | M9331 | Texas |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 059743 | Georgia |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 01084289A | Indiana |
Profile Details
| NPI number | 1699975342 |
|---|---|
| LBN Legal business name | Gullett, Christopher J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2007 |
| Last updated | Sep 30th, 2020 - about 5 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 | 1699975342 | NPPES |
| Texas | Other | 8AA851 | BLUE CROSS |
| Texas | MEDICAID | 194291401 | BLUE CROSS |
| Texas | MEDICAID | 204267127A | BLUE CROSS |
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