Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 17581 | AL |
NPI | 1013997808 |
---|---|
Provider Name | Jane Ann Gehlsen |
First Address | Bessemer, AL 35022-4500 |
Second Address | Bessemer, AL 35022-4500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2006 |
Last Update Date | 28/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1371 | HEALTHSPRING (01) | AL |
237303127019 | TRICARE/HUMANA (01) | AL |
3610009 | UNITED HEALTHCARE (01) | AL |
51523157 | BLUE CROSS/BLUE SHIELD (01) | AL |
51523158 | BLUE CROSS/BLUE SHIELD (01) | AL |
51523276 | BLUE CROSS/BLUE SHIELD (01) | AL |
80007973 | RAIL ROAD MEDICARE (01) | AL |
B92619 | (02) | AL |