Gavin, Julie A

Gavin, Julie A is an individual health care provider with primary practice located at 1430 Colvin Blvd , Buffalo NY 14223-1440. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as her primary health care specialty. Gavin, Julie A can be contacted via phone (716) 877-1221.

Contact Information

Primary practice address
1430 Colvin Blvd Buffalo NY 14223-1440
Fax: (716) 877-1096
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 243652 New York

Profile Details

NPI number 1700083276
LBN Legal business name Gavin, Julie A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700083276 NPPES
New York Other 161021580 TAX ID

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