Gable, Amy Jo

Gable, Amy Jo is an individual health care provider with primary practice located at 555 N New Ballas Rd Div Surg Vascular, Ste 265, Saint Louis MO 63141-6825. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Gable, Amy Jo can be contacted via phone (314) 991-4644.

Contact Information

Primary practice address
555 N New Ballas Rd Div Surg Vascular, Ste 265 Saint Louis MO 63141-6825
Phone: (314) 991-4644
Fax: (866) 342-0133
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2010017122 Missouri

Profile Details

NPI number 1912175969
LBN Legal business name Gable, Amy Jo
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2008
Last updated Apr 25th, 2024 - about 2 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 1912175969 NPPES
Missouri MEDICAID 220053052

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