Gaither, Fred E

Gaither, Fred E is an individual health care provider with primary practice located at 2430 Jenks Ave , Panama City FL 32405-4304. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Gaither, Fred E can be contacted via phone (850) 763-7244.

Contact Information

Primary practice address
2430 Jenks Ave Panama City FL 32405-4304
Phone: (850) 763-7244
Fax: (850) 763-0157
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO 2793 Florida

Profile Details

NPI number 1750312096
LBN Legal business name Gaither, Fred E
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Feb 6th, 2008 - about 17 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 1750312096 NPPES
Florida Other 480027828 MEDICARE RAILROAD
Florida MEDICAID 300456200 MEDICARE RAILROAD

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