Provider Demographics
NPI:1891817045
Name:GT ENTERPRISES, INC
Entity Type:Organization
Organization Name:GT ENTERPRISES, INC
Other - Org Name:WITH CHILD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:ACKERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-253-2229
Mailing Address - Street 1:13307 NE HWY 99
Mailing Address - Street 2:SUITE 105
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98686-3033
Mailing Address - Country:US
Mailing Address - Phone:360-253-2229
Mailing Address - Fax:360-944-0606
Practice Address - Street 1:13307 NE HWY 99
Practice Address - Street 2:SUITE 105
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686-3033
Practice Address - Country:US
Practice Address - Phone:360-253-2229
Practice Address - Fax:360-944-0606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies