Gaitley, Jennifer Danielle
Gaitley, Jennifer Danielle is an individual health care provider with primary practice located at 1919 E Thomas Rd Fl 2 , Phoenix AZ 85016-7710. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Gaitley, Jennifer Danielle can be contacted via phone (602) 933-3033.Contact Information
Primary practice address
1919 E Thomas Rd Fl 2
Phoenix AZ 85016-7710
Phone: (602) 933-3033
Fax: (602) 933-4311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2017-02087 | North Carolina |
| Allopathic & Osteopathic Physicians / Sports Medicine | 2080S0010X | 2017-02087 | North Carolina |
| Allopathic & Osteopathic Physicians / Sports Medicine | 2080S0010X | 60285 | Arizona |
Profile Details
| NPI number | 1528321569 |
|---|---|
| LBN Legal business name | Gaitley, Jennifer Danielle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2012 |
| Last updated | Dec 10th, 2020 - 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.
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