Powell, Gary Dean

Powell, Gary Dean is an sole proprietor health care provider with primary practice located at 1207 Colby Dr , Saint Peters MO 63376-5512. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Laboratory Management, which is considered as his primary health care specialty. Powell, Gary Dean can be contacted via phone (314) 401-2531.

Contact Information

Primary practice address
1207 Colby Dr Saint Peters MO 63376-5512
Phone: (314) 401-2531
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Laboratory Management 246QL0900X

Profile Details

NPI number 1083128326
LBN Legal business name Powell, Gary Dean
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 23rd, 2017
Last updated Nov 23rd, 2017 - about 7 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 1083128326 NPPES
Missouri Other 919983040 UNITED HEALTHCARE

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