Gutierrez, Jose A
Gutierrez, Jose A is an sole proprietor health care provider with primary practice located at 1400 S Dobson Rd Attn: Pediatric Intensive Care Unit, Mesa AZ 85202-4707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Gutierrez, Jose A can be contacted via phone (480) 412-3340.Contact Information
Primary practice address
1400 S Dobson Rd Attn: Pediatric Intensive Care Unit
Mesa AZ 85202-4707
Phone: (480) 412-3340
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 25242 | Arizona |
Profile Details
| NPI number | 1528032109 |
|---|---|
| LBN Legal business name | Gutierrez, Jose A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Nov 2nd, 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 | 1528032109 | NPPES |
| Arizona | MEDICAID | 385501 |
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