Dothan Family Practice

LBN: Glen Gabrielson
Dothan Family Practice is an health care organization with primary practice located at 1891 Honeysuckle Rd Ste 2, Dothan AL 36305-4290. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Glen Gabrielson can be contacted via phone (334) 794-6504, or through Gabrielson, Glen A via phone (334) 794-6504.

Contact Information

Primary practice address
1891 Honeysuckle Rd Ste 2 Dothan AL 36305-4290
Phone: (334) 794-6504
Fax: (334) 793-4452
Website:
Map and Directions
Authorized official contact:
Name: Gabrielson, Glen A Doctor of Medicine (MD)
Phone: (334) 794-6504

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12449 Alabama

Profile Details

NPI number 1427210491
LBN Legal business name Glen Gabrielson
DBA Doing business as Dothan Family Practice
Authorized official Gabrielson, Glen A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2008
Last updated Sep 19th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427210491 NPPES
Alabama MEDICAID 1427210491

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