Bal, Gagandeep
Bal, Gagandeep is an sole proprietor health care provider with primary practice located at 11 Professional Pkwy , Ridgeland MS 39157-4114. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bal, Gagandeep can be contacted via phone (601) 856-2460.Contact Information
Primary practice address
11 Professional Pkwy
Ridgeland MS 39157-4114
Phone: (601) 856-2460
Fax: (601) 856-4687
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 901853 | Mississippi |
Profile Details
| NPI number | 1578072245 |
|---|---|
| LBN Legal business name | Bal, Gagandeep |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2017 |
| Last updated | Nov 7th, 2017 - about 9 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 | 1578072245 | NPPES |
| Mississippi | Other | F0716953 | MEDICAL LICENSE |
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