Quaid, Gina A

Quaid, Gina A is an individual health care provider with primary practice located at 1541 Florida Ave Suite 200, Modesto CA 95350-4429. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Quaid, Gina A can be contacted via phone (209) 577-3388.

Contact Information

Primary practice address
1541 Florida Ave Suite 200 Modesto CA 95350-4429
Phone: (209) 577-3388
Fax: (209) 523-0764
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A61962 California

Profile Details

NPI number 1912983297
LBN Legal business name Quaid, Gina A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Mar 29th, 2011 - about 15 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 1912983297 NPPES
California Other CB809Z MEDICARE INDIVIDUAL PTAN
California MEDICAID T84263 MEDICARE INDIVIDUAL PTAN
California Other CD069A MEDICARE INDIVIDUAL PTAN

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