Ross, Gary Dean

Ross, Gary Dean is an individual health care provider with primary practice located at 1464 Jefferson St N , Lewisburg WV 24901-1380. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ross, Gary Dean can be contacted via phone (304) 645-3220.

Contact Information

Primary practice address
1464 Jefferson St N Lewisburg WV 24901-1380
Phone: (304) 645-3220
Fax: (844) 479-4545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 03051 West Virginia

Profile Details

NPI number 1386634715
LBN Legal business name Ross, Gary Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Apr 3rd, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386634715 NPPES
West Virginia MEDICAID 1386634715

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