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Contact Information

JASPER GULOTTA
835 E 162ND ST
SOUTH HOLLAND, IL60473-2465
 Phone: 708-333-4444
 Fax: 708-333-4454
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for JASPER GULOTTA · (Female)

NPI # 1497937403
Status Active
Credentials
Entity Individual
Enumeration date 11/30/2007
Last updated 08/28/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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