Underhill, Gary Thomas
Underhill, Gary Thomas is an individual health care provider with primary practice located at 1025 S 2Nd Ave , Walla Walla WA 99362-4116. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Underhill, Gary Thomas can be contacted via phone (509) 525-0480.Contact Information
Primary practice address
1025 S 2Nd Ave
Walla Walla WA 99362-4116
Phone: (509) 525-0480
Fax: (509) 527-8195
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00037711 | Washington |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD00037711 | Washington |
Profile Details
NPI number | 1851375265 |
---|---|
LBN Legal business name | Underhill, Gary Thomas |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 30th, 2005 |
Last updated | Mar 30th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851375265 | NPPES |
Washington | MEDICAID | 1020580 |
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