Mayfield, Gary D

Mayfield, Gary D is an individual health care provider with primary practice located at 2200 E Parrish Ave C-104, Owensboro KY 42303-1449. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mayfield, Gary D can be contacted via phone (270) 852-1632.

Contact Information

Primary practice address
2200 E Parrish Ave C-104 Owensboro KY 42303-1449
Phone: (270) 852-1632
Fax: (270) 852-1633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 334 Kentucky

Profile Details

NPI number 1952300253
LBN Legal business name Mayfield, Gary D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated May 1st, 2013 - about 12 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 1952300253 NPPES
Kentucky MEDICAID 95003349

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