Gammon, David Allen
Gammon, David Allen is an sole proprietor health care provider with primary practice located at 3296 Ridgecane Rd , Lexington KY 40513-1078. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Gammon, David Allen can be contacted via phone (859) 312-3377.Contact Information
Primary practice address
3296 Ridgecane Rd
Lexington KY 40513-1078
Phone: (859) 312-3377
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 22708 | Kentucky |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 22708 | Kentucky |
Profile Details
| NPI number | 1891720587 |
|---|---|
| LBN Legal business name | Gammon, David Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Jun 13th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891720587 | NPPES |
| Kentucky | Other | ASC1019 | ASC MEDICARE GROUP |
| Kentucky | Other | 37903705 | ASC MEDICARE GROUP |
| Kentucky | Other | 4000501 | ASC MEDICARE GROUP |
| Kentucky | Other | 110036800 | ASC MEDICARE GROUP |
| Kentucky | MEDICAID | 64227085 | ASC MEDICARE GROUP |
| Kentucky | Other | CB5773 | ASC MEDICARE GROUP |
| Kentucky | Other | 36000818 | ASC MEDICARE GROUP |
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