Palmer, Gary John

Palmer, Gary John is an individual health care provider with primary practice located at 7073 Clyo Rd , Centerville OH 45459-4816. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Palmer, Gary John can be contacted via phone (937) 435-5857.

Contact Information

Primary practice address
7073 Clyo Rd Centerville OH 45459-4816
Fax: (937) 912-4960
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35-07-7315-P Ohio

Profile Details

NPI number 1053316893
LBN Legal business name Palmer, Gary John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Mar 7th, 2023 - about 3 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 1053316893 NPPES
Ohio MEDICAID 2243709

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