Ganz, Jeremy

Ganz, Jeremy is an individual health care provider with primary practice located at 27Th Special Operations Medical Group 224 W D. L. Ingram Avenue, Bldg. 1408, Clovis NM 88103. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Ganz, Jeremy can be contacted via phone (314) 226-8463.

Contact Information

Primary practice address
27Th Special Operations Medical Group 224 W D. L. Ingram Avenue, Bldg. 1408 Clovis NM 88103
Phone: (314) 226-8463
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1053805671
LBN Legal business name Ganz, Jeremy
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2018
Last updated Jan 22nd, 2024 - about 2 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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