Derouin, Gael
Derouin, Gael is an individual health care provider with primary practice located at 2525 E Roosevelt St , Phoenix AZ 85008-4948. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Derouin, Gael can be contacted via phone (602) 344-1015.Contact Information
Primary practice address
2525 E Roosevelt St
Phoenix AZ 85008-4948
Phone: (602) 344-1015
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 3052 | Arizona |
Profile Details
| NPI number | 1821042078 |
|---|---|
| LBN Legal business name | Derouin, Gael |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | Sep 19th, 2008 - about 16 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 | 1821042078 | NPPES |
| Arizona | MEDICAID | 581927 |
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