Echols, Gerald L

Echols, Gerald L is an individual health care provider with primary practice located at 1241 E. Broadway #28 , Mesa AZ 85204-2254. He recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as his primary health care specialty. Echols, Gerald L can be contacted via phone (480) 835-0909.

Contact Information

Primary practice address
1241 E. Broadway #28 Mesa AZ 85204-2254
Phone: (480) 835-0909
Fax: (480) 835-6501
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X 07-501426-Z Arizona

Profile Details

NPI number 1295789196
LBN Legal business name Echols, Gerald L
Credentials C.P.O.
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1295789196 NPPES
Arizona Other AZ-0274950 BLUE CROSS BLUE SHIELD OF

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