Gale, Harry Lavern
Gale, Harry Lavern is an sole proprietor health care provider with primary practice located at 450 S Willard St Ste 103 , Cottonwood AZ 86326-6744. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gale, Harry Lavern can be contacted via phone (928) 664-9573.Contact Information
Primary practice address
450 S Willard St Ste 103
Cottonwood AZ 86326-6744
Phone: (928) 664-9573
Fax: (928) 634-0135
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2772 | Arizona |
Profile Details
| NPI number | 1194825828 |
|---|---|
| LBN Legal business name | Gale, Harry Lavern |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2006 |
| Last updated | Jan 11th, 2023 - about last year |
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 | 1194825828 | NPPES |
| Arizona | MEDICAID | 137275002 |
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