Gutierrez, Albert Manuel
Gutierrez, Albert Manuel is an sole proprietor health care provider with primary practice located at 208 E Farrel Rd , Lafayette LA 70508-7104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Gutierrez, Albert Manuel can be contacted via phone (337) 981-9110.Contact Information
Primary practice address
208 E Farrel Rd
Lafayette LA 70508-7104
Phone: (337) 981-9110
Fax: (337) 981-8485
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 11023 R | Louisiana |
Profile Details
| NPI number | 1356339147 |
|---|---|
| LBN Legal business name | Gutierrez, Albert Manuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Oct 25th, 2011 - about 15 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 | 1356339147 | NPPES |
| Louisiana | MEDICAID | 1659681 |
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