Eastes, Gary Dean

Eastes, Gary Dean is an individual health care provider with primary practice located at 1801 16Th St , Greeley CO 80631-5154. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Eastes, Gary Dean can be contacted via phone (970) 392-2026.

Contact Information

Primary practice address
1801 16Th St Greeley CO 80631-5154
Phone: (970) 392-2026
Fax: (970) 392-2027
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X D8202 Texas
Other Service Providers / Specialist 174400000X D8202 Texas
Allopathic & Osteopathic Physicians / Urology 208800000X DR-38516 Colorado

Profile Details

NPI number 1457338527
LBN Legal business name Eastes, Gary Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Mar 11th, 2015 - about 11 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 1457338527 NPPES
Texas MEDICAID 156562401

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