Gutierrez, Glenn Buenaventura
Gutierrez, Glenn Buenaventura is an sole proprietor health care provider with primary practice located at 267 Boston Rd. Suite 20, Billerica MA 01862. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gutierrez, Glenn Buenaventura can be contacted via phone (978) 663-6666.Contact Information
Primary practice address
267 Boston Rd. Suite 20
Billerica MA 01862
Phone: (978) 663-6666
Fax: (978) 663-6716
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 71627 | Massachusetts |
Profile Details
NPI number | 1417975889 |
---|---|
LBN Legal business name | Gutierrez, Glenn Buenaventura |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 17th, 2006 |
Last updated | Nov 8th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417975889 | NPPES |
Massachusetts | MEDICAID | 110049234A |
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