Gaddis, Alfred T

Gaddis, Alfred T is an individual health care provider with primary practice located at 600 Coffee Rd , Modesto CA 95355-4201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Gaddis, Alfred T can be contacted via phone (209) 524-1211.

Contact Information

Primary practice address
600 Coffee Rd Modesto CA 95355-4201
Phone: (209) 524-1211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X G60616 California

Profile Details

NPI number 1477501278
LBN Legal business name Gaddis, Alfred T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jun 13th, 2008 - 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 1477501278 NPPES
California MEDICAID 00G606160

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