Gaitan, Jaime R

Gaitan, Jaime R is an individual health care provider with primary practice located at 1750 E Glendale Ave , Phoenix AZ 85020-5505. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Gaitan, Jaime R can be contacted via phone (602) 242-4928.

Contact Information

Primary practice address
1750 E Glendale Ave Phoenix AZ 85020-5505
Phone: (602) 242-4928
Fax: (602) 249-4813
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 40429 Arizona
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 40429 Arizona

Profile Details

NPI number 1275580573
LBN Legal business name Gaitan, Jaime R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Apr 4th, 2017 - 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 1275580573 NPPES
Arizona MEDICAID 337652

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