Gatheral, Christopher

Gatheral, Christopher is an sole proprietor health care provider with primary practice located at 2021 Kingsley Ave Suite 105, Orange Park FL 32073-5174. 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. Gatheral, Christopher can be contacted via phone (904) 276-5400.

Contact Information

Primary practice address
2021 Kingsley Ave Suite 105 Orange Park FL 32073-5174
Phone: (904) 276-5400
Fax: (904) 276-5430
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 9226246 Florida

Profile Details

NPI number 1316219231
LBN Legal business name Gatheral, Christopher
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2012
Last updated Jul 21st, 2015 - about 9 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 1316219231 NPPES
Florida MEDICAID 004773300

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