Gutzman, Troy D

Gutzman, Troy D is an individual health care provider with primary practice located at 1630 Commanche Ave , Green Bay WI 54313-6089. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Gutzman, Troy D can be contacted via phone (920) 430-4700.

Contact Information

Primary practice address
1630 Commanche Ave Green Bay WI 54313-6089
Phone: (920) 430-4700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 1958026 Wisconsin

Profile Details

NPI number 1770533739
LBN Legal business name Gutzman, Troy D
Credentials OTR/CHT/CEES
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jun 30th, 2015 - about 11 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 1770533739 NPPES
Wisconsin MEDICAID 40835000

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