Gandy, Roy E
Gandy, Roy E is an individual health care provider with primary practice located at 2451 Fillingim St Mastin 101, Mobile AL 36617-2238. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gandy, Roy E can be contacted via phone (251) 445-8282.Contact Information
Primary practice address
2451 Fillingim St Mastin 101
Mobile AL 36617-2238
Phone: (251) 445-8282
Fax: (251) 445-8281
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 6662 | Alabama |
Profile Details
| NPI number | 1225036312 |
|---|---|
| LBN Legal business name | Gandy, Roy E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Jul 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225036312 | NPPES |
| Florida | MEDICAID | 277823800 | |
| Florida | Other | 51539457 | |
| Florida | MEDICAID | 000008042 | |
| Florida | Other | 5108042 | |
| Florida | Other | 51539539 | |
| Florida | MEDICAID | 009941402 | |
| Florida | MEDICAID | 009941403 | |
| Florida | MEDICAID | 00501046 |
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