Gammello, Nicholas

Gammello, Nicholas is an individual health care provider with primary practice located at 7251 Excelsior Rd , Baxter MN 56425. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Gammello, Nicholas can be contacted via phone (218) 454-0878.

Contact Information

Primary practice address
7251 Excelsior Rd Baxter MN 56425
Phone: (218) 454-0878
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1437 Minnesota

Profile Details

NPI number 1558383000
LBN Legal business name Gammello, Nicholas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Mar 10th, 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 1558383000 NPPES
Minnesota MEDICAID 731353500
Minnesota Other 62Q99GA

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