Provider Demographics
NPI:1922577279
Name:GUTHRIE, GARY J
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:J
Last Name:GUTHRIE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:OH
Mailing Address - Zip Code:45005-1607
Mailing Address - Country:US
Mailing Address - Phone:937-367-4148
Mailing Address - Fax:
Practice Address - Street 1:321 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:OH
Practice Address - Zip Code:45005-1607
Practice Address - Country:US
Practice Address - Phone:937-367-4148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-15
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health