Gutowski, Anatole Frank
Gutowski, Anatole Frank is an sole proprietor health care provider with primary practice located at 159 Mescalero Trl Suite 1, Ruidoso NM 88345-6089. He recently has only one registered license in Eye and Vision Services Providers / Occupational Vision, which is considered as his primary health care specialty. Gutowski, Anatole Frank can be contacted via phone (505) 257-5029.Contact Information
Primary practice address
159 Mescalero Trl Suite 1
Ruidoso NM 88345-6089
Phone: (505) 257-5029
Fax: (505) 257-9096
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Occupational Vision | 152WX0102X | 333 | New Mexico |
Profile Details
| NPI number | 1023194818 |
|---|---|
| LBN Legal business name | Gutowski, Anatole Frank |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Oct 15th, 2012 - about 14 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 | 1023194818 | NPPES |
| New Mexico | MEDICAID | P0821 | |
| New Mexico | Other | 410032284 | |
| New Mexico | Other | P420 |
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