Staufert Gutierrez, Denisse Leticia

Staufert Gutierrez, Denisse Leticia is an individual health care provider with primary practice located at 4400 Old Canton Rd Fl 3 , Jackson MS 39211-5982. She recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as her primary health care specialty. Staufert Gutierrez, Denisse Leticia can be contacted via phone (888) 815-2005.

Contact Information

Primary practice address
4400 Old Canton Rd Fl 3 Jackson MS 39211-5982
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 31016 Mississippi

Profile Details

NPI number 1912428590
LBN Legal business name Staufert Gutierrez, Denisse Leticia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2017
Last updated Dec 27th, 2023 - about 2 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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