Wellman, Gretchen Renee

Wellman, Gretchen Renee is an individual health care provider with primary practice located at 3400 Latouche St Suite 100, Anchorage AK 99508-4208. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist is her primary health care specialty. Wellman, Gretchen Renee can be contacted via phone (907) 561-1777.

Contact Information

Primary practice address
3400 Latouche St Suite 100 Anchorage AK 99508-4208
Phone: (907) 561-1777
Fax: (907) 561-2157
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X

Profile Details

NPI number 1235480385
LBN Legal business name Wellman, Gretchen Renee
Credentials Certified Orthotist (CO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2012
Last updated Sep 28th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235480385 NPPES
Alaska MEDICAID PO0012

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