Gunn, Roger A

Gunn, Roger A is an individual health care provider with primary practice located at 801 5Th St , Sioux City IA 51101-1394. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as his primary health care specialty. Gunn, Roger A can be contacted via phone (712) 279-2372.

Contact Information

Primary practice address
801 5Th St Sioux City IA 51101-1394
Phone: (712) 279-2372
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 22334 Iowa
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 3935 South Dakota

Profile Details

NPI number 1558345124
LBN Legal business name Gunn, Roger A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Jul 9th, 2007 - about 17 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 1558345124 NPPES
Iowa Other 23528 WELLMARK BLX
Iowa MEDICAID 1035287 WELLMARK BLX
Iowa Other 0005660 WELLMARK BLX
Iowa MEDICAID 0035287 WELLMARK BLX

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