Gutierrez, Jerel D

Gutierrez, Jerel D is an individual health care provider with primary practice located at 200 Carmichael Way Ste 612 , Chesapeake VA 23322-2489. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Gutierrez, Jerel D can be contacted via phone (757) 204-7210.

Contact Information

Primary practice address
200 Carmichael Way Ste 612 Chesapeake VA 23322-2489
Phone: (757) 204-7210
Fax: (757) 204-7213
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0401411448 Virginia

Profile Details

NPI number 1598891509
LBN Legal business name Gutierrez, Jerel D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Jan 24th, 2017 - about 8 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 1598891509 NPPES
Other 1865742 UNITED CONCORDIA
Other 238989 UNITED CONCORDIA
Other 11448 UNITED CONCORDIA

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