Bakota Gutierrez, Jill M
Bakota Gutierrez, Jill M is an individual health care provider with primary practice located at Martin Army Community Hospital 6600 Van Aalst Blvd, Bldg 9250, Fort Moore GA 31905. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Bakota Gutierrez, Jill M can be contacted via phone (762) 408-3498.Contact Information
Primary practice address
Martin Army Community Hospital 6600 Van Aalst Blvd, Bldg 9250
Fort Moore GA 31905
Phone: (762) 408-3498
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 8634 TG | Texas |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT002625 | Georgia |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0002964 | Colorado |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046010341 | Illinois |
Profile Details
| NPI number | 1932412871 |
|---|---|
| LBN Legal business name | Bakota Gutierrez, Jill M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2010 |
| Last updated | Mar 11th, 2024 - 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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