Quigley, Gerard Joseph
Quigley, Gerard Joseph is an individual health care provider with primary practice located at 4824 E Baseline Rd Ste 140 , Mesa AZ 85206-4680. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Quigley, Gerard Joseph can be contacted via phone (480) 969-4040.Contact Information
Primary practice address
4824 E Baseline Rd Ste 140
Mesa AZ 85206-4680
Phone: (480) 969-4040
Fax: (480) 830-1042
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 2797 | Arizona |
Profile Details
| NPI number | 1568460749 |
|---|---|
| LBN Legal business name | Quigley, Gerard Joseph |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Nov 12th, 2019 - about 5 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 | 1568460749 | NPPES |
| Arizona | MEDICAID | 769664 |
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