Gavin, Emily S

Gavin, Emily S is an individual health care provider with primary practice located at 909 Sw Oralabor Rd Suite 100, Ankeny IA 50023-7004. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gavin, Emily S can be contacted via phone (515) 963-4400.

Contact Information

Primary practice address
909 Sw Oralabor Rd Suite 100 Ankeny IA 50023-7004
Fax: (515) 963-4300
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 31084 Iowa

Profile Details

NPI number 1629055546
LBN Legal business name Gavin, Emily S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated May 17th, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1629055546 NPPES
Iowa MEDICAID 1141606
Iowa MEDICAID 1629055546
Iowa MEDICAID 0141606

Popular Providers