Gaynor, James Patrick

Gaynor, James Patrick is an sole proprietor health care provider with primary practice located at 235 Wealthy St Se , Grand Rapids MI 49503-5247. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Gaynor, James Patrick can be contacted via phone (616) 840-8684.

Contact Information

Primary practice address
235 Wealthy St Se Grand Rapids MI 49503-5247
Phone: (616) 840-8684
Fax: (616) 840-9771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 5501012506 Michigan

Profile Details

NPI number 1528569720
LBN Legal business name Gaynor, James Patrick
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2018
Last updated Feb 22nd, 2018 - about 8 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 1528569720 NPPES
Michigan MEDICAID 1437402542

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