Gifford, Eric M

Gifford, Eric M is an individual health care provider with primary practice located at 3328 S National Ave Ste F , Springfield MO 65807-7305. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Gifford, Eric M can be contacted via phone (417) 771-3147.

Contact Information

Primary practice address
3328 S National Ave Ste F Springfield MO 65807-7305
Phone: (417) 771-3147
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 2014012495 Missouri
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 20140124955 Missouri

Profile Details

NPI number 1144532490
LBN Legal business name Gifford, Eric M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2010
Last updated May 16th, 2024 - about 4 months 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 1144532490 NPPES
Missouri MEDICAID 200015259
Missouri MEDICAID 1144532490

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