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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 1730189275 NPPES
Virginia MEDICAID 006603866
Virginia Other 220024672
Virginia Other 224094
Virginia Other 27825

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