Gutierrez, Horacio
Gutierrez, Horacio is an individual health care provider with primary practice located at 1380 Tulip St , Longmont CO 80501-3157. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Gutierrez, Horacio can be contacted via phone (303) 651-5160.Contact Information
Primary practice address
1380 Tulip St
Longmont CO 80501-3157
Phone: (303) 651-5160
Fax: (303) 651-5173
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 37798 | Colorado |
| Other Service Providers / Specialist | 174400000X | DR.0037798 | Colorado |
Profile Details
| NPI number | 1023046265 |
|---|---|
| LBN Legal business name | Gutierrez, Horacio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Nov 15th, 2016 - about 10 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 | 1023046265 | NPPES |
| Colorado | MEDICAID | 54136831 | |
| Colorado | Other | F2008 | |
| Colorado | Other | P00121931 |
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