Garry, John Edward

Garry, John Edward is an individual health care provider with primary practice located at 6121 N Thesta Suite 202, Fresno CA 93710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Garry, John Edward can be contacted via phone (559) 440-0283.

Contact Information

Primary practice address
6121 N Thesta Suite 202 Fresno CA 93710
Fax: (559) 440-0192
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X G39995 California
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 4301046027 Michigan

Profile Details

NPI number 1669558573
LBN Legal business name Garry, John Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Sep 24th, 2008 - about 17 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 1669558573 NPPES
California MEDICAID 00G399950

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