Gailis, Glenn G
Gailis, Glenn G is an individual health care provider with primary practice located at 1905 Main St , Klamath Falls OR 97601-2638. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gailis, Glenn G can be contacted via phone (541) 882-4691.Contact Information
Primary practice address
1905 Main St
Klamath Falls OR 97601-2638
Phone: (541) 882-4691
Fax: (541) 883-5211
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD08780 | Oregon |
Profile Details
| NPI number | 1790816189 |
|---|---|
| LBN Legal business name | Gailis, Glenn G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Sep 7th, 2011 - about 14 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 | 1790816189 | NPPES |
| Oregon | MEDICAID | 239756 |
Popular Providers
-
Mckellar, Jon Gregory
2218 Shallock Ave , Klamath Falls OR 97601-4290 -
Jackman, Robert P
2821 Daggett Ave Ste 200 , Klamath Falls OR 97601-1106 -
Nehren, Norma J
2074 S 6Th St , Klamath Falls OR 97601-3372 -
Novak, James F
1905 Main St , Klamath Falls OR 97601-2638 -
O'Farrell, Cathleen M
2074 S 6Th St , Klamath Falls OR 97601 -
Hollander-Rodriguez, Joyce C
2821 Daggett Ave Ste 100 , Klamath Falls OR 97601-1106 -
Barbee, Carl A
2821 Daggett Ave Ste 100 , Klamath Falls OR 97601-1106 -
Bakke, Kathleen
1905 Main St , Klamath Falls OR 97601-2638