Gutierrez, Elena

Gutierrez, Elena is an individual health care provider with primary practice located at 700 S Park St , Madison WI 53715-1830. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as her primary health care specialty. Gutierrez, Elena can be contacted via phone (608) 260-2900.

Contact Information

Primary practice address
700 S Park St Madison WI 53715-1830
Fax: (608) 260-3447
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 60826-020 Wisconsin

Profile Details

NPI number 1578785804
LBN Legal business name Gutierrez, Elena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Nov 18th, 2020 - 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 1578785804 NPPES
Wisconsin MEDICAID 15787585804

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