Eggleston, Gary Eugene

Eggleston, Gary Eugene is an individual health care provider with primary practice located at 138 E Main St , Westfield NY 14787-1121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Eggleston, Gary Eugene can be contacted via phone (716) 326-4678.

Contact Information

Primary practice address
138 E Main St Westfield NY 14787-1121
Phone: (716) 326-4678
Fax: (716) 326-4914
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 142899 New York

Profile Details

NPI number 1487629515
LBN Legal business name Eggleston, Gary Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Sep 28th, 2009 - about 16 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 1487629515 NPPES
New York MEDICAID 00722069

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