Bernard, Gabrielle Dionyse Lauren

Bernard, Gabrielle Dionyse Lauren is an individual health care provider with primary practice located at 1205 N 10Th St Ste A , Renton WA 98057-5577. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Bernard, Gabrielle Dionyse Lauren can be contacted via phone (425) 690-3475.

Contact Information

Primary practice address
1205 N 10Th St Ste A Renton WA 98057-5577
Phone: (425) 690-3475
Fax: (425) 690-9475
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G85928 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD60862290 Washington

Profile Details

NPI number 1275589608
LBN Legal business name Bernard, Gabrielle Dionyse Lauren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Aug 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275589608 NPPES
California Other 00G859280 BLUE SHIELD
California Other 050126CG35107 BLUE SHIELD
California Other G85928 BLUE SHIELD
California Other 930123114 BLUE SHIELD
California MEDICAID 2106688 BLUE SHIELD
California MEDICAID 00G859280 BLUE SHIELD
California Other 00G859280 BLUE SHIELD

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