Proffett, Gary
Proffett, Gary is an sole proprietor health care provider with primary practice located at 46 Calle Del Norte , Rancho Mirage CA 92270-5210. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Proffett, Gary can be contacted via phone (805) 658-2552.Contact Information
Primary practice address
46 Calle Del Norte
Rancho Mirage CA 92270-5210
Phone: (805) 658-2552
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | A31780 | California |
Profile Details
| NPI number | 1932254570 |
|---|---|
| LBN Legal business name | Proffett, Gary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932254570 | NPPES |
| California | MEDICAID | 00A317800 |
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