Ward, Gary L

Ward, Gary L is an individual health care provider with primary practice located at 2725 N Westwood Blvd , Poplar Bluff MO 63901-2346. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ward, Gary L can be contacted via phone (573) 686-5510.

Contact Information

Primary practice address
2725 N Westwood Blvd Poplar Bluff MO 63901-2346
Phone: (573) 686-5510
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 106997 Missouri

Profile Details

NPI number 1821053315
LBN Legal business name Ward, Gary L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Jul 26th, 2021 - about 3 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 1821053315 NPPES
Missouri Other 188274 BLUE CROSS BLUE SHIELD
Missouri MEDICAID 502259203 BLUE CROSS BLUE SHIELD

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