Gabriel, Mary Terese
Gabriel, Mary Terese is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106-1716. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Gabriel, Mary Terese can be contacted via phone (216) 844-3881.Contact Information
Primary practice address
11100 Euclid Ave
Cleveland OH 44106-1716
Phone: (216) 844-3881
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 38282 | Kentucky |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 35.081829 | Ohio |
Profile Details
| NPI number | 1053396895 |
|---|---|
| LBN Legal business name | Gabriel, Mary Terese |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2005 |
| Last updated | Jan 15th, 2021 - about 5 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 | 1053396895 | NPPES |
| Kentucky | MEDICAID | 64096404 |
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