Gutman, Michael

Gutman, Michael is an individual health care provider with primary practice located at Sunnyside Unified School District No12 2238 E Ginter Road, Tucson AZ 95706. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Gutman, Michael can be contacted via phone (520) 545-2137.

Contact Information

Primary practice address
Sunnyside Unified School District No12 2238 E Ginter Road Tucson AZ 95706
Fax: (520) 545-2120
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X Arizona

Profile Details

NPI number 1053474247
LBN Legal business name Gutman, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Jul 26th, 2007 - about 17 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 1053474247 NPPES
Arizona MEDICAID 144167

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