Gutierrez, Rosa Belen

Gutierrez, Rosa Belen is an individual health care provider with primary practice located at 1 Medical Village Dr , Edgewood KY 41017-3403. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Gutierrez, Rosa Belen can be contacted via phone (859) 341-7246.

Contact Information

Primary practice address
1 Medical Village Dr Edgewood KY 41017-3403
Phone: (859) 341-7246
Fax: (859) 341-7867
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 18736 Kentucky

Profile Details

NPI number 1902896798
LBN Legal business name Gutierrez, Rosa Belen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Feb 20th, 2008 - about 18 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 1902896798 NPPES
Other 000000033079 ANTHEM BCBS
Other 11308607 ANTHEM BCBS
Other 0539304 ANTHEM BCBS
MEDICAID 64187362 ANTHEM BCBS

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