Gannon, Julia H

Gannon, Julia H is an individual health care provider with primary practice located at 1201 11Th Ave S Suite 501, Birmingham AL 35205-3423. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Gannon, Julia H can be contacted via phone (205) 930-0930.

Contact Information

Primary practice address
1201 11Th Ave S Suite 501 Birmingham AL 35205-3423
Phone: (205) 930-0930
Fax: (205) 930-9050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X S708TA316 Alabama

Profile Details

NPI number 1760478226
LBN Legal business name Gannon, Julia H
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Oct 18th, 2017 - about 9 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 1760478226 NPPES
Alabama MEDICAID 528500580
Alabama Other 51502838

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