Gannon, Aimee L

Gannon, Aimee L is an individual health care provider with primary practice located at 300 Medical Pkwy Suite 314, Chesapeake VA 23320-4985. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gannon, Aimee L can be contacted via phone (757) 549-4403.

Contact Information

Primary practice address
300 Medical Pkwy Suite 314 Chesapeake VA 23320-4985
Phone: (757) 549-4403
Fax: (757) 549-4332
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110001901 Virginia

Profile Details

NPI number 1942365077
LBN Legal business name Gannon, Aimee L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated May 25th, 2010 - about 14 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 1942365077 NPPES
Virginia Other 1942365077 HEALTH NET TRICARE
Virginia MEDICAID 1942365077 HEALTH NET TRICARE
Virginia Other 1942365077 HEALTH NET TRICARE

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