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:
Health care specialties
Specialty | Code | License # | 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 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 | 1962638080 | NPPES |
Ohio | MEDICAID | 0111981 |
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