Gingold, Cory Matthew

Gingold, Cory Matthew is an individual health care provider with primary practice located at 1000 N Humphreys St Suite 104, Flagstaff AZ 86001-3136. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Gingold, Cory Matthew can be contacted via phone (928) 779-3844.

Contact Information

Primary practice address
1000 N Humphreys St Suite 104 Flagstaff AZ 86001-3136
Phone: (928) 779-3844
Fax: (928) 779-3848
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 2243 Arizona

Profile Details

NPI number 1679512198
LBN Legal business name Gingold, Cory Matthew
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated May 3rd, 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 1679512198 NPPES
Arizona MEDICAID 532433

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