Gaiss, Amy
Gaiss, Amy is an sole proprietor health care provider with primary practice located at 3120 N Oak Street Ext Ste C , Valdosta GA 31602-5910. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Gaiss, Amy can be contacted via phone (229) 671-6100.Contact Information
Primary practice address
3120 N Oak Street Ext Ste C
Valdosta GA 31602-5910
Phone: (229) 671-6100
Fax: (229) 671-6774
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 005868 | Georgia |
Profile Details
| NPI number | 1790037943 |
|---|---|
| LBN Legal business name | Gaiss, Amy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2012 |
| Last updated | Oct 12th, 2012 - about 12 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 | 1790037943 | NPPES |
| Georgia | Other | 005868 | LICENSE |
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