Gangwer, Kimberly
Gangwer, Kimberly is an individual health care provider with primary practice located at 5177 Mccarty Ln , Lafayette IN 47905-8764. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as her primary health care specialty. Gangwer, Kimberly can be contacted via phone (765) 448-8000.Contact Information
Primary practice address
5177 Mccarty Ln
Lafayette IN 47905-8764
Phone: (765) 448-8000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant | 246ZC0007X | CERT 92231 | Indiana |
Profile Details
NPI number | 1063871770 |
---|---|
LBN Legal business name | Gangwer, Kimberly |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 23rd, 2016 |
Last updated | Mar 30th, 2016 - about 8 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 | 1063871770 | NPPES |
Indiana | Other | 000000996847 | ANTHEM PROVIDER NUMBER |
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