Gean-Gersch, Alisa Diane

Gean-Gersch, Alisa Diane is an individual health care provider with primary practice located at 1001 Potrero Ave Rm 1X55, San Francisco CA 94110-3518. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Gean-Gersch, Alisa Diane can be contacted via phone (415) 206-5871.

Contact Information

Primary practice address
1001 Potrero Ave Rm 1X55 San Francisco CA 94110-3518
Phone: (415) 206-5871
Fax: (415) 206-4004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X G66034 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G66034 California

Profile Details

NPI number 1942246343
LBN Legal business name Gean-Gersch, Alisa Diane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Jul 21st, 2008 - about 16 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 1942246343 NPPES
California MEDICAID 00G660340

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