Kandrac, Gilbert Andrew
Kandrac, Gilbert Andrew is an sole proprietor health care provider with primary practice located at 80 Newnan Station Drive, Suite A , Newnan GA 30265. 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. Kandrac, Gilbert Andrew can be contacted via phone (770) 251-2060.Contact Information
Primary practice address
80 Newnan Station Drive, Suite A
Newnan GA 30265
Phone: (770) 251-2060
Fax: (678) 854-9235
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | RN105065 | Georgia |
Profile Details
| NPI number | 1760476014 |
|---|---|
| LBN Legal business name | Kandrac, Gilbert Andrew |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2005 |
| Last updated | Apr 17th, 2015 - about 9 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 | 1760476014 | NPPES |
| Georgia | Other | 9975585 | UNIVERSAL HEALTHCARE |
| Georgia | Other | 20-02624 | UNIVERSAL HEALTHCARE |
| Georgia | Other | 156961100 | UNIVERSAL HEALTHCARE |
| Georgia | Other | 52433809-002 | UNIVERSAL HEALTHCARE |
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