Gaston, Johnny Eugene
Gaston, Johnny Eugene is an sole proprietor health care provider with primary practice located at 2312B Murchison Rd , Fayetteville NC 28301-3518. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Gaston, Johnny Eugene can be contacted via phone (910) 488-6331.Contact Information
Primary practice address
2312B Murchison Rd
Fayetteville NC 28301-3518
Phone: (910) 488-6331
Fax: (910) 488-5351
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 22112 | North Carolina |
Profile Details
| NPI number | 1649212440 |
|---|---|
| LBN Legal business name | Gaston, Johnny Eugene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Jul 9th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649212440 | NPPES |
| North Carolina | MEDICAID | 8901585 | |
| North Carolina | MEDICAID | 8934945 |
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