Bal, Gagandeep

Bal, Gagandeep is an sole proprietor health care provider with primary practice located at 11 Professional Pkwy , Ridgeland MS 39157-4114. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bal, Gagandeep can be contacted via phone (601) 856-2460.

Contact Information

Primary practice address
11 Professional Pkwy Ridgeland MS 39157-4114
Phone: (601) 856-2460
Fax: (601) 856-4687
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 901853 Mississippi

Profile Details

NPI number 1578072245
LBN Legal business name Bal, Gagandeep
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2017
Last updated Nov 7th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578072245 NPPES
Mississippi Other F0716953 MEDICAL LICENSE

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