Dausmann, Gary W
Dausmann, Gary W is an individual health care provider with primary practice located at 686 Lester St , Poplar Bluff MO 63901-5025. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dausmann, Gary W can be contacted via phone (573) 686-2411.Contact Information
Primary practice address
686 Lester St
Poplar Bluff MO 63901-5025
Phone: (573) 686-2411
Fax: (573) 686-8452
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R3D64 | Missouri |
Profile Details
| NPI number | 1649259409 |
|---|---|
| LBN Legal business name | Dausmann, Gary W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Nov 5th, 2015 - about 9 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 | 1649259409 | NPPES |
| Other | 080037680 | TRAVELERS MEDICARE | |
| MEDICAID | 201860400 | TRAVELERS MEDICARE | |
| MEDICAID | 108133001 | TRAVELERS MEDICARE |
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