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Contact Information

SHIRLEY B GUTKOWSKI
1266 W MAIN ST
SUN PRAIRIE, WI53590-1918
 Phone: 608-318-2800
 Fax: 608-318-1324
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Dental Hygienist

124Q00000X
 

Health Educator

174H00000X
Indicates primary specialty

NPI Profile & details for SHIRLEY B GUTKOWSKI · (Female)

NPI # 1619315249
Status Active
Credentials
Entity Individual
Enumeration date 06/05/2013
Last updated 07/21/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 3747016
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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