Wahl, Gary J

Wahl, Gary J is an individual health care provider with primary practice located at 1325 Triplett St , Owensboro KY 42303-3163. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wahl, Gary J can be contacted via phone (270) 686-8500.

Contact Information

Primary practice address
1325 Triplett St Owensboro KY 42303-3163
Phone: (270) 686-8500
Fax: (270) 685-5467
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23029 Kentucky

Profile Details

NPI number 1245230903
LBN Legal business name Wahl, Gary J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated May 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245230903 NPPES
Kentucky Other 000000550297 CHS INC ANTHEM PIN #
Kentucky MEDICAID 6423029500 CHS INC ANTHEM PIN #

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