Wilkes, Gary Mason
Wilkes, Gary Mason is an individual health care provider with primary practice located at 23811 Chagrin Blvd Ste 170, Beachwood OH 44122-5525. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Wilkes, Gary Mason can be contacted via phone (216) 765-0440.Contact Information
Primary practice address
23811 Chagrin Blvd Ste 170
Beachwood OH 44122-5525
Phone: (216) 765-0440
Fax: (216) 765-0448
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 35049560 | Ohio |
Profile Details
| NPI number | 1548265051 |
|---|---|
| LBN Legal business name | Wilkes, Gary Mason |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Oct 8th, 2009 - about 16 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 | 1548265051 | NPPES |
| Ohio | MEDICAID | 0602486 |
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