Gerdes, Carol A

Gerdes, Carol A is an sole proprietor health care provider with primary practice located at 501 S Shore Ctr W Suite D, Alameda CA 94501-5762. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Gerdes, Carol A can be contacted via phone (510) 864-0660.

Contact Information

Primary practice address
501 S Shore Ctr W Suite D Alameda CA 94501-5762
Fax: (510) 864-0393
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G62236 California

Profile Details

NPI number 1417063306
LBN Legal business name Gerdes, Carol A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 22nd, 2006
Last updated Sep 14th, 2016 - about 10 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 1417063306 NPPES
California MEDICAID 00G622360

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