Gleason, John Paul
Gleason, John Paul is an individual health care provider with primary practice located at 143 Canal St Ste 500, Pooler GA 31322-6007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gleason, John Paul can be contacted via phone (912) 748-4527.Contact Information
Primary practice address
143 Canal St Ste 500
Pooler GA 31322-6007
Phone: (912) 748-4527
Fax: (912) 748-9016
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 065403 | Georgia |
Profile Details
NPI number | 1871534750 |
---|---|
LBN Legal business name | Gleason, John Paul |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 9th, 2006 |
Last updated | Jan 15th, 2013 - about 12 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 | 1871534750 | NPPES |
Alabama | MEDICAID | 009934511 | |
Alabama | Other | 0007564665 | |
Alabama | Other | 51000636 | |
Alabama | Other | 0337572 |
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