Gam, John

Gam, John is an individual health care provider with primary practice located at 121 N 20Th St #6 , Opelika AL 36801. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gam, John can be contacted via phone (334) 705-3322.

Contact Information

Primary practice address
121 N 20Th St #6 Opelika AL 36801
Phone: (334) 705-3322
Fax: (334) 705-3431
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 339 Alabama

Profile Details

NPI number 1336221191
LBN Legal business name Gam, John
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Dec 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336221191 NPPES
Alabama MEDICAID 000030450

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