Gullett, John Wathan

Gullett, John Wathan is an individual health care provider with primary practice located at 563 Wessel Dr , Fairfield OH 45014-3668. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gullett, John Wathan can be contacted via phone (513) 858-6500.

Contact Information

Primary practice address
563 Wessel Dr Fairfield OH 45014-3668
Fax: (513) 858-2777
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 097924 Ohio

Profile Details

NPI number 1043473226
LBN Legal business name Gullett, John Wathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2008
Last updated Dec 31st, 2013 - about 12 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 1043473226 NPPES
Ohio Other 097924 OHIO LECENSE NUMBER

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