Gannam, Rachel M
Gannam, Rachel M is an individual health care provider with primary practice located at 155 E Wilbur Rd Ste 101 , Thousand Oaks CA 91360-7929. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Gannam, Rachel M can be contacted via phone (805) 497-7840.Contact Information
Primary practice address
155 E Wilbur Rd Ste 101
Thousand Oaks CA 91360-7929
Phone: (805) 497-7840
Fax: (805) 373-0577
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT13020 | California |
Profile Details
| NPI number | 1073528949 |
|---|---|
| LBN Legal business name | Gannam, Rachel M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2006 |
| Last updated | Jan 20th, 2012 - about 14 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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