Fannon, Gary
Fannon, Gary is an individual health care provider with primary practice located at 1 Hurley Plz , Flint MI 48503-5902. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Fannon, Gary can be contacted via phone (810) 262-9683.Contact Information
Primary practice address
1 Hurley Plz
Flint MI 48503-5902
Phone: (810) 262-9683
Fax: (810) 760-0440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1447512819 |
|---|---|
| LBN Legal business name | Fannon, Gary |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2012 |
| Last updated | Jun 12th, 2012 - about 14 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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