Incaudo, Gary A

Incaudo, Gary A is an individual health care provider with primary practice located at 145 Mission Ranch Blvd Suite 110, Chico CA 95926-2175. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Incaudo, Gary A can be contacted via phone (530) 896-2200.

Contact Information

Primary practice address
145 Mission Ranch Blvd Suite 110 Chico CA 95926-2175
Phone: (530) 896-2200
Fax: (530) 896-2209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X G27753 California
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X G27753 California

Profile Details

NPI number 1194742106
LBN Legal business name Incaudo, Gary A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Jan 18th, 2010 - about 15 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 1194742106 NPPES
California MEDICAID 00G277530

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