Packer, Gerald A

Packer, Gerald A is an individual health care provider with primary practice located at 5659 Parkway Dr Ste 100, Gloucester VA 23061-3792. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Packer, Gerald A can be contacted via phone (804) 210-1005.

Contact Information

Primary practice address
5659 Parkway Dr Ste 100 Gloucester VA 23061-3792
Phone: (804) 210-1005
Fax: (804) 210-1009
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101031360 Virginia

Profile Details

NPI number 1861451957
LBN Legal business name Packer, Gerald A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Dec 5th, 2013 - about 13 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 1861451957 NPPES
Virginia MEDICAID 010046793

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