Patrick, Gary W.

Patrick, Gary W. is an sole proprietor health care provider with primary practice located at 9059 W Lake Pleasant Pkwy Suite D400, Peoria AZ 85382-8336. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Patrick, Gary W. can be contacted via phone (623) 572-0303.

Contact Information

Primary practice address
9059 W Lake Pleasant Pkwy Suite D400 Peoria AZ 85382-8336
Phone: (623) 572-0303
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3980 Arizona

Profile Details

NPI number 1144363813
LBN Legal business name Patrick, Gary W.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2007
Last updated Jul 8th, 2007 - about 18 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 1144363813 NPPES
Arizona Other 1744690 UNITED CONCORDIA TRICARE
Arizona Other AZ0105011 UNITED CONCORDIA TRICARE

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