Gault, Janice Ann
Gault, Janice Ann is an individual health care provider with primary practice located at 840 Walnut St Suite 1240, Philadelphia PA 19107-5109. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Gault, Janice Ann can be contacted via phone (215) 928-3138.Contact Information
Primary practice address
840 Walnut St Suite 1240
Philadelphia PA 19107-5109
Phone: (215) 928-3138
Fax: (610) 668-7454
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD050661L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 25MA06068600 | New Jersey |
Profile Details
| NPI number | 1780673137 |
|---|---|
| LBN Legal business name | Gault, Janice Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Jul 13th, 2026 - about 3 months 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 | 1780673137 | NPPES |
| Pennsylvania | MEDICAID | 0016296410007 | |
| Pennsylvania | MEDICAID | 6811108 |
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