Gutierrez, Fabio Echeverri
Gutierrez, Fabio Echeverri is an sole proprietor health care provider with primary practice located at 7101 Jahnke Rd , Richmond VA 23225-4017. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gutierrez, Fabio Echeverri can be contacted via phone (804) 323-8820.Contact Information
Primary practice address
7101 Jahnke Rd
Richmond VA 23225-4017
Phone: (804) 323-8820
Fax: (804) 323-8539
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 0101021805 | Virginia |
Profile Details
| NPI number | 1730189275 |
|---|---|
| LBN Legal business name | Gutierrez, Fabio Echeverri |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2005 |
| Last updated | Nov 30th, 2009 - about 16 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 | 1730189275 | NPPES |
| Virginia | MEDICAID | 006603866 | |
| Virginia | Other | 220024672 | |
| Virginia | Other | 224094 | |
| Virginia | Other | 27825 |
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