Gaggino, Jeannette Lia
Gaggino, Jeannette Lia is an individual health care provider with primary practice located at 121 Bulkley St , Kalamazoo MI 49006-3262. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gaggino, Jeannette Lia can be contacted via phone (269) 385-4701.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301405993 | Michigan |
Profile Details
| NPI number | 1093785560 |
|---|---|
| LBN Legal business name | Gaggino, Jeannette Lia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Jan 25th, 2023 - about last year |
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 | 1093785560 | NPPES |
| Michigan | MEDICAID | 4467369 |
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