Individual
JOHN JEFFREY GUTSCHENRITTER I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1225 S POPLAR ST, SUITE 400, NORTH PLATTE, NE 69101-7785
(308) 534-7638
Mailing address
1225 S POPLAR ST, SUITE 400, NORTH PLATTE, NE 69101-7785
(308) 534-7638
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
988
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025551000
—
NE
05
—
47-0779548-13
—
NE
Enumeration date
05/06/2006
Last updated
12/22/2009
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