Dragon, Gary Joseph

Dragon, Gary Joseph is an sole proprietor health care provider with primary practice located at 85 Whisperwood Blvd , Slidell LA 70458-1136. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Dragon, Gary Joseph can be contacted via phone (985) 641-2866.

Contact Information

Primary practice address
85 Whisperwood Blvd Slidell LA 70458-1136
Phone: (985) 641-2866
Fax: (985) 781-5395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 04523 Louisiana

Profile Details

NPI number 1508807405
LBN Legal business name Dragon, Gary Joseph
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2006
Last updated Feb 19th, 2019 - about 5 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 1508807405 NPPES
Louisiana Other G7147 BLUECROSS BLUESHIELD

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