Gage, Irene
Gage, Irene is an individual health care provider with primary practice located at 5255 Loughboro Rd Nw , Washington DC 20016-2695. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Gage, Irene can be contacted via phone (202) 537-4787.Contact Information
Primary practice address
5255 Loughboro Rd Nw
Washington DC 20016-2695
Phone: (202) 537-4787
Fax: (202) 537-4964
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD31214 | District of Columbia |
Profile Details
| NPI number | 1265433544 |
|---|---|
| LBN Legal business name | Gage, Irene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Feb 19th, 2008 - about 17 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 | 1265433544 | NPPES |
| District of Columbia | MEDICAID | 5821738 |
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