Greathouse, Gail

Greathouse, Gail is an individual health care provider with primary practice located at 100 S Main St , West Salem IL 62476-1202. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Greathouse, Gail can be contacted via phone (618) 456-3727.

Contact Information

Primary practice address
100 S Main St West Salem IL 62476-1202
Phone: (618) 456-3727
Fax: (618) 456-3774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209002292 Illinois

Profile Details

NPI number 1215060298
LBN Legal business name Greathouse, Gail
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Jan 21st, 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 1215060298 NPPES
Illinois Other 209-002292 LICENSE NUMBER

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