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
Fax: (912) 748-9016
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871534750 NPPES
Alabama MEDICAID 009934511
Alabama Other 0007564665
Alabama Other 51000636
Alabama Other 0337572

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