Gutierrez, Antonio

Gutierrez, Antonio is an individual health care provider with primary practice located at 5455 Almira Dr Se , Bremerton WA 98311-8330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Gutierrez, Antonio can be contacted via phone (360) 373-5031.

Contact Information

Primary practice address
5455 Almira Dr Se Bremerton WA 98311-8330
Phone: (360) 373-5031
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD00017257 Washington

Profile Details

NPI number 1154442713
LBN Legal business name Gutierrez, Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Jul 8th, 2007 - about 18 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 1154442713 NPPES
Washington Other 196144 L&I
Washington Other A025 L&I
Washington MEDICAID 1022417 L&I
Washington Other 135653 L&I
Washington Other 8916345 L&I

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