Gutierrez, Marjorie Ann

Gutierrez, Marjorie Ann is an individual health care provider with primary practice located at 1407 N Michigan St , Plymouth IN 46563-1119. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Gutierrez, Marjorie Ann can be contacted via phone (574) 941-2220.

Contact Information

Primary practice address
1407 N Michigan St Plymouth IN 46563-1119
Phone: (574) 941-2220
Fax: (574) 941-2227
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 17001319A Indiana

Profile Details

NPI number 1891201034
LBN Legal business name Gutierrez, Marjorie Ann
Credentials HCP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2017
Last updated Jun 16th, 2018 - 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 1891201034 NPPES
Indiana Other 17001319A INDIANA STATE LICENSE

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