Gage, Earl Anthony

Gage, Earl Anthony is an individual health care provider with primary practice located at 100 E Idaho Street, Suite 303 , Boise ID 83712-6269. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Gage, Earl Anthony can be contacted via phone (314) 251-4772.

Contact Information

Primary practice address
100 E Idaho Street, Suite 303 Boise ID 83712-6269
Phone: (314) 251-4772
Fax: (314) 251-5772
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 2012011130 Missouri
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X M-17141 Idaho

Profile Details

NPI number 1134302433
LBN Legal business name Gage, Earl Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2007
Last updated Jun 30th, 2023 - about 3 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 1134302433 NPPES
Idaho MEDICAID 1134302433

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