Gannon, Julia H
Gannon, Julia H is an individual health care provider with primary practice located at 1201 11Th Ave S Suite 501, Birmingham AL 35205-3423. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Gannon, Julia H can be contacted via phone (205) 930-0930.Contact Information
Primary practice address
1201 11Th Ave S Suite 501
Birmingham AL 35205-3423
Phone: (205) 930-0930
Fax: (205) 930-9050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | S708TA316 | Alabama |
Profile Details
| NPI number | 1760478226 |
|---|---|
| LBN Legal business name | Gannon, Julia H |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Oct 18th, 2017 - about 7 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 | 1760478226 | NPPES |
| Alabama | MEDICAID | 528500580 | |
| Alabama | Other | 51502838 |
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