Gatewood, James C

Gatewood, James C is an individual health care provider with primary practice located at 1445 Christy Dr , Jefferson City MO 65101-2853. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Gatewood, James C can be contacted via phone (573) 636-3483.

Contact Information

Primary practice address
1445 Christy Dr Jefferson City MO 65101-2853
Phone: (573) 636-3483
Fax: (573) 636-5315
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 132540 Missouri

Profile Details

NPI number 1669462628
LBN Legal business name Gatewood, James C
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Jul 25th, 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 1669462628 NPPES
Missouri MEDICAID 8152966027

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