Gavazzi, John David
Gavazzi, John David is an sole proprietor health care provider with primary practice located at 890 Poplar Church Rd Room 401, Camp Hill PA 17011-2250. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gavazzi, John David can be contacted via phone (717) 979-4550.Contact Information
Primary practice address
890 Poplar Church Rd Room 401
Camp Hill PA 17011-2250
Phone: (717) 979-4550
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS005719L | Pennsylvania |
Profile Details
| NPI number | 1558326025 |
|---|---|
| LBN Legal business name | Gavazzi, John David |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Jul 8th, 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 | 1558326025 | NPPES |
| Pennsylvania | Other | 01994201 | CAPITAL BLUE CROSS |
| Pennsylvania | Other | 641488 | CAPITAL BLUE CROSS |
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