De Ridder, Gustaaf Gregoire

De Ridder, Gustaaf Gregoire is an individual health care provider with primary practice located at 100 N Academy Ave , Danville PA 17822-1945. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. De Ridder, Gustaaf Gregoire can be contacted via phone (570) 271-6338.

Contact Information

Primary practice address
100 N Academy Ave Danville PA 17822-1945
Phone: (570) 271-6338
Fax: (570) 271-6105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD467020 Pennsylvania

Profile Details

NPI number 1528350923
LBN Legal business name De Ridder, Gustaaf Gregoire
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2011
Last updated Aug 5th, 2019 - about 5 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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