Gannon, Joe M.
Gannon, Joe M. is an sole proprietor health care provider with primary practice located at 607 Rue De Brille , New Iberia LA 70563-2169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gannon, Joe M. can be contacted via phone (337) 367-1247.Contact Information
Primary practice address
607 Rue De Brille
New Iberia LA 70563-2169
Phone: (337) 367-1247
Fax: (337) 365-7496
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 10553R | Louisiana |
Profile Details
| NPI number | 1992700256 |
|---|---|
| LBN Legal business name | Gannon, Joe M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2005 |
| Last updated | May 12th, 2021 - about 4 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 | 1992700256 | NPPES |
| Louisiana | MEDICAID | 1655091 |
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