Gambla, Jason Thomas

Gambla, Jason Thomas is an sole proprietor health care provider with primary practice located at 4440 W 95Th St , Oak Lawn IL 60453-2600. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic, which is considered as his primary health care specialty. Gambla, Jason Thomas can be contacted via phone (708) 684-8000.

Contact Information

Primary practice address
4440 W 95Th St Oak Lawn IL 60453-2600
Phone: (708) 684-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic 246ZE0600X

Profile Details

NPI number 1093437337
LBN Legal business name Gambla, Jason Thomas
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2022
Last updated Sep 14th, 2022 - about 4 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 1093437337 NPPES
Other 012357877 OTHER

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