Beardsley, Gale Rolland
Beardsley, Gale Rolland is an sole proprietor health care provider with primary practice located at 1629 Wilder Ave Apt 704 , Honolulu HI 96822-4666. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Beardsley, Gale Rolland can be contacted via phone (808) 721-7278.Contact Information
Primary practice address
1629 Wilder Ave Apt 704
Honolulu HI 96822-4666
Phone: (808) 721-7278
Fax: (808) 207-3799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD4083 | Hawaii |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | G151697 | California |
Profile Details
| NPI number | 1790789600 |
|---|---|
| LBN Legal business name | Beardsley, Gale Rolland |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2005 |
| Last updated | May 7th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790789600 | NPPES |
| Hawaii | MEDICAID | 04758501 |
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