Geffken, Gary R

Geffken, Gary R is an individual health care provider with primary practice located at 2833 Nw 41St St Unit 140, Gainesville FL 32606-6986. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Geffken, Gary R can be contacted via phone (352) 377-1426.

Contact Information

Primary practice address
2833 Nw 41St St Unit 140 Gainesville FL 32606-6986
Phone: (352) 377-1426
Fax: (352) 376-5781
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY3729 Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY3729 Florida

Profile Details

NPI number 1265473276
LBN Legal business name Geffken, Gary R
Credentials PH D
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Apr 7th, 2017 - about 7 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 1265473276 NPPES
Florida MEDICAID 042063800

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