Gandy, Aubrey Dustin

Gandy, Aubrey Dustin is an sole proprietor health care provider with primary practice located at 4370 W Main St , Dothan AL 36305-1056. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Gandy, Aubrey Dustin can be contacted via phone (334) 793-0010.

Contact Information

Primary practice address
4370 W Main St Dothan AL 36305-1056
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X DO.1039 Alabama

Profile Details

NPI number 1972741593
LBN Legal business name Gandy, Aubrey Dustin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2009
Last updated Mar 10th, 2011 - about 15 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 1972741593 NPPES
Alabama MEDICAID 110832
Alabama Other 51049105

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