Gerothanassis, Dimitris
Gerothanassis, Dimitris is an sole proprietor health care provider with primary practice located at 2825 E Barnett Rd , Medford OR 97504-8332. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Gerothanassis, Dimitris can be contacted via phone (541) 891-7000.Contact Information
Primary practice address
2825 E Barnett Rd
Medford OR 97504-8332
Phone: (541) 891-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 226334 | Massachusetts |
Profile Details
| NPI number | 1124134069 |
|---|---|
| LBN Legal business name | Gerothanassis, Dimitris |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Apr 5th, 2022 - about 2 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 | 1124134069 | NPPES |
| Massachusetts | MEDICAID | 2134489 |
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