North, Gary J

North, Gary J is an individual health care provider with primary practice located at 2940 E Banner Gateway Dr Ste 200, Gilbert AZ 85234-2168. 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. North, Gary J can be contacted via phone (480) 964-2908.

Contact Information

Primary practice address
2940 E Banner Gateway Dr Ste 200 Gilbert AZ 85234-2168
Phone: (480) 964-2908
Fax: (480) 833-2136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2618 Arizona

Profile Details

NPI number 1215906185
LBN Legal business name North, Gary J
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Apr 18th, 2014 - about 10 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 1215906185 NPPES
Arizona MEDICAID 681793

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