Hermansen, Gary Keith

Hermansen, Gary Keith is an individual health care provider with primary practice located at 308 Donahue St , Sausalito CA 94965-1032. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Chiropractic Providers / Chiropractor. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Hermansen, Gary Keith can be contacted via phone (415) 535-3659.

Contact Information

Primary practice address
308 Donahue St Sausalito CA 94965-1032
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 7066932-8900 Utah
Chiropractic Providers / Chiropractor 111N00000X 1008 Mississippi

Profile Details

NPI number 1134277254
LBN Legal business name Hermansen, Gary Keith
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Jul 17th, 2019 - about 5 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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