Gable, Amy Jo
Gable, Amy Jo is an individual health care provider with primary practice located at 555 N New Ballas Rd Div Surg Vascular, Ste 265, Saint Louis MO 63141-6825. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Gable, Amy Jo can be contacted via phone (314) 991-4644.Contact Information
Primary practice address
555 N New Ballas Rd Div Surg Vascular, Ste 265
Saint Louis MO 63141-6825
Phone: (314) 991-4644
Fax: (866) 342-0133
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 2010017122 | Missouri |
Profile Details
NPI number | 1912175969 |
---|---|
LBN Legal business name | Gable, Amy Jo |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 12th, 2008 |
Last updated | Apr 25th, 2024 - about 8 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912175969 | NPPES |
Missouri | MEDICAID | 220053052 |
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