Gamble, James E

Gamble, James E is an individual health care provider with primary practice located at 500 Keene St Suite 103, Columbia MO 65201-8104. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gamble, James E can be contacted via phone (573) 874-2030.

Contact Information

Primary practice address
500 Keene St Suite 103 Columbia MO 65201-8104
Phone: (573) 874-2030
Fax: (573) 449-0253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T02206 Missouri

Profile Details

NPI number 1952353690
LBN Legal business name Gamble, James E
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Sep 7th, 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 1952353690 NPPES
Missouri Other 109188 BC/BS
Missouri Other 0270770001 BC/BS
Missouri MEDICAID 311305213 BC/BS
Missouri Other 410033429 BC/BS

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