Gaylord, John Freeman
Gaylord, John Freeman is an individual health care provider with primary practice located at 1970 Roanoke Blvd , Salem VA 24153-6404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gaylord, John Freeman can be contacted via phone (540) 982-2463.Contact Information
Primary practice address
1970 Roanoke Blvd
Salem VA 24153-6404
Phone: (540) 982-2463
Fax: (540) 855-3406
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101044349 | Virginia |
Profile Details
| NPI number | 1619975596 |
|---|---|
| LBN Legal business name | Gaylord, John Freeman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2005 |
| Last updated | May 21st, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619975596 | NPPES |
| Other | 1831141597 | NPI GROUP | |
| MEDICAID | 5831580 | NPI GROUP |
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