Gavin, Michael Philip

Gavin, Michael Philip is an individual health care provider with primary practice located at 141 Hospital Dr , Salem KY 42078-8043. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Gavin, Michael Philip can be contacted via phone (270) 988-3298.

Contact Information

Primary practice address
141 Hospital Dr Salem KY 42078-8043
Phone: (270) 988-3298
Fax: (270) 988-4642
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 21359 Kentucky
Allopathic & Osteopathic Physicians / General Practice 208D00000X 21359 Kentucky

Profile Details

NPI number 1669442620
LBN Legal business name Gavin, Michael Philip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Mar 17th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669442620 NPPES
Kentucky MEDICAID 64213598

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