Gamble, Michael Miller

Gamble, Michael Miller is an individual health care provider with primary practice located at 1287 Fulton Rd , Santa Rosa CA 95401-4923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Gamble, Michael Miller can be contacted via phone (707) 543-2410.

Contact Information

Primary practice address
1287 Fulton Rd Santa Rosa CA 95401-4923
Phone: (707) 543-2410
Fax: (707) 543-2032
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X C34623 California

Profile Details

NPI number 1437116381
LBN Legal business name Gamble, Michael Miller
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 9th, 2007 - 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 1437116381 NPPES
California Other C34623 STATE LICENSE
California Other 00C346230 STATE LICENSE

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