Greathouse, Gail
Greathouse, Gail is an individual health care provider with primary practice located at 100 S Main St , West Salem IL 62476-1202. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Greathouse, Gail can be contacted via phone (618) 456-3727.Contact Information
Primary practice address
100 S Main St
West Salem IL 62476-1202
Phone: (618) 456-3727
Fax: (618) 456-3774
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209002292 | Illinois |
Profile Details
| NPI number | 1215060298 |
|---|---|
| LBN Legal business name | Greathouse, Gail |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Jan 21st, 2016 - about 9 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 | 1215060298 | NPPES |
| Illinois | Other | 209-002292 | LICENSE NUMBER |
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