Gutierrez, Ernesto

Gutierrez, Ernesto is an individual health care provider with primary practice located at 755 Norman Dr , Lebanon PA 17042-7497. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Gutierrez, Ernesto can be contacted via phone (717) 273-6706.

Contact Information

Primary practice address
755 Norman Dr Lebanon PA 17042-7497
Fax: (717) 273-1435
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X MD428609 Pennsylvania

Profile Details

NPI number 1255330718
LBN Legal business name Gutierrez, Ernesto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Feb 3rd, 2010 - about 15 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 1255330718 NPPES
Pennsylvania Other 1552372 GATEWAY
Pennsylvania Other 50058270 GATEWAY
Pennsylvania MEDICAID 1015455900001 GATEWAY
Pennsylvania Other GU136434 GATEWAY

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