Gannan, Robert M
Gannan, Robert M is an individual health care provider with primary practice located at 1135 116Th Ave Ne 560, Bellevue WA 98004-4623. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Gannan, Robert M can be contacted via phone (425) 454-4768.Contact Information
Primary practice address
1135 116Th Ave Ne 560
Bellevue WA 98004-4623
Phone: (425) 454-4768
Fax: (425) 462-8021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 16481 | Washington |
Profile Details
| NPI number | 1811976533 |
|---|---|
| LBN Legal business name | Gannan, Robert M |
| Credentials | MD PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1811976533 | NPPES |
| Washington | Other | 96596 | L & I |
| Washington | MEDICAID | 1165208 | L & I |
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