Gannon, Herbert H

Gannon, Herbert H is an sole proprietor health care provider with primary practice located at 4300 West Main Street Suite 31 Womens Healthcare Of Dothan Pc, Dothan AL 36305-4300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Gannon, Herbert H can be contacted via phone (334) 793-6511.

Contact Information

Primary practice address
4300 West Main Street Suite 31 Womens Healthcare Of Dothan Pc Dothan AL 36305-4300
Phone: (334) 793-6511
Fax: (334) 677-5642
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 00006291 Alabama

Profile Details

NPI number 1356309942
LBN Legal business name Gannon, Herbert H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2006
Last updated Nov 5th, 2010 - about 16 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 1356309942 NPPES
Alabama MEDICAID 000004270

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