Gatmaitan Dizon, Geraldine Y
Gatmaitan Dizon, Geraldine Y is an individual health care provider with primary practice located at 7425 Wrigley Dr Ste 101 , Pasco WA 99301-5292. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gatmaitan Dizon, Geraldine Y can be contacted via phone (509) 546-8399.Contact Information
Primary practice address
7425 Wrigley Dr Ste 101
Pasco WA 99301-5292
Phone: (509) 546-8399
Fax: (509) 545-6842
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 053816 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD60002198 | Washington |
Profile Details
| NPI number | 1942277157 |
|---|---|
| LBN Legal business name | Gatmaitan Dizon, Geraldine Y |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Sep 28th, 2020 - about 6 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 | 1942277157 | NPPES |
| Georgia | MEDICAID | 207707713A | |
| Georgia | MEDICAID | 207707713B |
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