Gammon, Rachelle L

Gammon, Rachelle L is an individual health care provider with primary practice located at 974 73Rd St Suite 30, Windsor Heights IA 50312-1024. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gammon, Rachelle L can be contacted via phone (515) 224-4993.

Contact Information

Primary practice address
974 73Rd St Suite 30 Windsor Heights IA 50312-1024
Fax: (515) 224-1505
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 3803 Iowa

Profile Details

NPI number 1891990271
LBN Legal business name Gammon, Rachelle L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2007
Last updated May 22nd, 2012 - about 13 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 1891990271 NPPES
Iowa MEDICAID 1891990271

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