Gavagan, Andrew K
Gavagan, Andrew K is an sole proprietor health care provider with primary practice located at 1080 Kirts Blvd Suite 700, Troy MI 48084-4881. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Gavagan, Andrew K can be contacted via phone (248) 369-9300.Contact Information
Primary practice address
1080 Kirts Blvd Suite 700
Troy MI 48084-4881
Phone: (248) 369-9300
Fax: (248) 362-5272
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 4301057593 | Michigan |
Profile Details
| NPI number | 1225011596 |
|---|---|
| LBN Legal business name | Gavagan, Andrew K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Aug 29th, 2014 - about 10 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 | 1225011596 | NPPES |
| Michigan | MEDICAID | 349596810 |
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