Gabriele, Mary E
Gabriele, Mary E is an sole proprietor health care provider with primary practice located at 502 E Whiteaker Ave , Cottage Grove OR 97424-1648. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gabriele, Mary E can be contacted via phone (541) 649-1450.Contact Information
Primary practice address
502 E Whiteaker Ave
Cottage Grove OR 97424-1648
Phone: (541) 649-1450
Fax: (541) 649-1110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD28280 | Oregon |
Profile Details
| NPI number | 1912120114 |
|---|---|
| LBN Legal business name | Gabriele, Mary E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Sep 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912120114 | NPPES |
| Oregon | MEDICAID | 279279 |
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