Pittman, Gavin T

Pittman, Gavin T is an individual health care provider with primary practice located at 640 Jackson St - Mc 11503L Healthpartners Regionsl Specialty Clinics, St. Paul MN 55101-2502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Pittman, Gavin T can be contacted via phone (651) 254-2005.

Contact Information

Primary practice address
640 Jackson St - Mc 11503L Healthpartners Regionsl Specialty Clinics St. Paul MN 55101-2502
Phone: (651) 254-2005
Fax: (651) 254-1519
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 47753 Minnesota

Profile Details

NPI number 1578581351
LBN Legal business name Pittman, Gavin T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Oct 25th, 2018 - about 6 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 1578581351 NPPES
Other 135135E949 UCARE
Other HP52033 UCARE
MEDICAID 660273800 UCARE
Other 969991044105 UCARE
Other 332G2PI UCARE
Other 901999 UCARE

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