Lofgren, Gary

Lofgren, Gary is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106-1716. 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. Lofgren, Gary can be contacted via phone (216) 844-7334.

Contact Information

Primary practice address
11100 Euclid Ave Cleveland OH 44106-1716
Phone: (216) 844-7334
Fax: (216) 844-3781
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 211639 Ohio

Profile Details

NPI number 1063414811
LBN Legal business name Lofgren, Gary
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Nov 21st, 2013 - about 11 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 1063414811 NPPES
Ohio Other 0583328 BCMH
Ohio Other P00457955 BCMH
Ohio Other 748693 BCMH
Ohio Other 000000221232 BCMH
Ohio MEDICAID 0918761 BCMH
Ohio Other 415004 BCMH
Ohio Other 000000515994 BCMH
Ohio Other 7109263 BCMH

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