Gago, Luis C.

Gago, Luis C. is an individual health care provider with primary practice located at 2350 E Stadium Blvd Suite 10, Ann Arbor MI 48104-4889. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gago, Luis C. can be contacted via phone (877) 852-8463.

Contact Information

Primary practice address
2350 E Stadium Blvd Suite 10 Ann Arbor MI 48104-4889
Fax: (734) 994-6283
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4301076027 Michigan

Profile Details

NPI number 1386704781
LBN Legal business name Gago, Luis C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Sep 20th, 2018 - about 7 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 1386704781 NPPES
Michigan MEDICAID 467549710
Michigan Other LG076027
Michigan Other 180H149970
Michigan Other LG076027
Michigan MEDICAID 1386704781
Michigan Other 180H262240

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