Gans, Alyssa Jennifer

Gans, Alyssa Jennifer is an sole proprietor health care provider with primary practice located at 3535 Pentagon Blvd Ste 330 , Beavercreek OH 45431-1705. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Gans, Alyssa Jennifer can be contacted via phone (937) 395-8556.

Contact Information

Primary practice address
3535 Pentagon Blvd Ste 330 Beavercreek OH 45431-1705
Phone: (937) 395-8556
Fax: (937) 395-6376
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35.097120 Ohio
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 35.097120 Ohio

Profile Details

NPI number 1962638080
LBN Legal business name Gans, Alyssa Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2009
Last updated Mar 17th, 2018 - about 6 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 1962638080 NPPES
Ohio MEDICAID 0111981

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