Deysine, Gaston R
Deysine, Gaston R is an individual health care provider with primary practice located at 33501 1St Way S , Federal Way WA 98003-6208. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Deysine, Gaston R can be contacted via phone (253) 838-2400.Contact Information
Primary practice address
33501 1St Way S
Federal Way WA 98003-6208
Phone: (253) 838-2400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD00030831 | Washington |
Profile Details
| NPI number | 1376569566 |
|---|---|
| LBN Legal business name | Deysine, Gaston R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Jan 26th, 2015 - about 10 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 | 1376569566 | NPPES |
| Washington | Other | US4311896 | AETNA/USHC SPECIALIST |
| Washington | Other | 1119DE | AETNA/USHC SPECIALIST |
| Washington | MEDICAID | 8268732 | AETNA/USHC SPECIALIST |
| Washington | Other | MD4555W | AETNA/USHC SPECIALIST |
| Washington | Other | 0039594 | AETNA/USHC SPECIALIST |
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