Gannett, Mary
Gannett, Mary is an individual health care provider with primary practice located at 1001 Noble St , Fairbanks AK 99701-4922. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gannett, Mary can be contacted via phone (907) 459-3520.Contact Information
Primary practice address
1001 Noble St
Fairbanks AK 99701-4922
Phone: (907) 459-3520
Fax: (907) 459-3554
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4081 | Alaska |
Profile Details
| NPI number | 1750356747 |
|---|---|
| LBN Legal business name | Gannett, Mary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1750356747 | NPPES |
| Alaska | MEDICAID | 1009362 |
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