Gazzillo, Gregory P
Gazzillo, Gregory P is an individual health care provider with primary practice located at 14000 Fairview Dr , Burnsville MN 55337-5713. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Gazzillo, Gregory P can be contacted via phone (952) 993-8700.Contact Information
Primary practice address
14000 Fairview Dr
Burnsville MN 55337-5713
Phone: (952) 993-8700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 51111 | Minnesota |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 42984 | Arizona |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1427219393 |
|---|---|
| LBN Legal business name | Gazzillo, Gregory P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2008 |
| Last updated | Apr 25th, 2018 - about 6 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 | 1427219393 | NPPES |
| Arizona | MEDICAID | 698506 |
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