Rivera Gutierrez, Alberto
Rivera Gutierrez, Alberto is an individual health care provider with primary practice located at 926 S Washington Ave , Holland MI 49423-7725. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Rivera Gutierrez, Alberto can be contacted via phone (616) 820-3780.Contact Information
Primary practice address
926 S Washington Ave
Holland MI 49423-7725
Phone: (616) 820-3780
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 4301064703 | Michigan |
Profile Details
| NPI number | 1356394464 |
|---|---|
| LBN Legal business name | Rivera Gutierrez, Alberto |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | May 22nd, 2013 - about 12 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 | 1356394464 | NPPES |
| Michigan | MEDICAID | 4780142 | |
| Michigan | MEDICAID | 4780133 |
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