Gazak, John M

Gazak, John M is an individual health care provider with primary practice located at 1420 E 7Th St , Charlotte NC 28204-2408. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Pediatric Urology is his primary health care specialty. Gazak, John M can be contacted via phone (704) 375-0100.

Contact Information

Primary practice address
1420 E 7Th St Charlotte NC 28204-2408
Phone: (704) 375-0100
Fax: (704) 887-6450
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 25023 North Carolina
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 25023 North Carolina

Profile Details

NPI number 1811000425
LBN Legal business name Gazak, John M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Mar 2nd, 2016 - about 8 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 1811000425 NPPES
North Carolina MEDICAID 8934991

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