Harlan, Gary Allen

Harlan, Gary Allen is an individual health care provider with primary practice located at 211 Saint Francis Dr , Cape Girardeau MO 63703-5049. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Harlan, Gary Allen can be contacted via phone (573) 331-3000.

Contact Information

Primary practice address
211 Saint Francis Dr Cape Girardeau MO 63703-5049
Phone: (573) 331-3000
Fax: (913) 341-5797
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2002017914 Missouri

Profile Details

NPI number 1134182215
LBN Legal business name Harlan, Gary Allen
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Jun 25th, 2009 - about 16 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 1134182215 NPPES
Missouri Other 405586 BCBS
Missouri MEDICAID 919026302 BCBS
Missouri Other 110375 BCBS
Missouri Other 105535 BCBS
Missouri Other A165 BCBS
Missouri Other 430079551 BCBS

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