Roll, Gunnar
Roll, Gunnar is an individual health care provider with primary practice located at 75 Nielson Street , Watsonville CA 95076. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Roll, Gunnar can be contacted via phone (408) 724-4741.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA12560 | California |
Profile Details
NPI number | 1710917018 |
---|---|
LBN Legal business name | Roll, Gunnar |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 3rd, 2006 |
Last updated | Dec 3rd, 2008 - about 17 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 | 1710917018 | NPPES |
California | MEDICAID | PA16537 |
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