Gay, John S

Gay, John S is an individual health care provider with primary practice located at 14000 Nicollet Ave , Burnsville MN 55337-5790. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gay, John S can be contacted via phone (952) 428-0200.

Contact Information

Primary practice address
14000 Nicollet Ave Burnsville MN 55337-5790
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27259 Minnesota

Profile Details

NPI number 1356333538
LBN Legal business name Gay, John S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Nov 18th, 2011 - about 14 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 1356333538 NPPES
Minnesota MEDICAID 090077000

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