Ladd, Gilbert Russell
Ladd, Gilbert Russell is an sole proprietor health care provider with primary practice located at 3290 W Big Beaver Rd Ste 509 , Troy MI 48084-2917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Ladd, Gilbert Russell can be contacted via phone (248) 290-2220.Contact Information
Primary practice address
3290 W Big Beaver Rd Ste 509
Troy MI 48084-2917
Phone: (248) 290-2220
Fax: (248) 290-4019
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | GL073196 | Michigan |
Profile Details
| NPI number | 1407941321 |
|---|---|
| LBN Legal business name | Ladd, Gilbert Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Sep 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407941321 | NPPES |
| Michigan | Other | 38-3513013 | TAX ID# |
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