Harrison, Gayle Ann
Harrison, Gayle Ann is an individual health care provider with primary practice located at 2111 College Dr , Gallup NM 87301-5600. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Harrison, Gayle Ann can be contacted via phone (505) 863-1820.Contact Information
Primary practice address
2111 College Dr
Gallup NM 87301-5600
Phone: (505) 863-1820
Fax: (505) 863-1898
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD19928 | Oregon |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A60050 | California |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00035594 | Washington |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 7590 | South Dakota |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 81831 | Wyoming |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD20090692 | New Mexico |
Profile Details
| NPI number | 1285663658 |
|---|---|
| LBN Legal business name | Harrison, Gayle Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Mar 22nd, 2010 - about 14 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 | 1285663658 | NPPES |
| Oregon | MEDICAID | 150718 | |
| Oregon | Other | 858597000 | |
| Oregon | Other | 9305053253002 |
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