Gacek, Edward M

Gacek, Edward M is an sole proprietor health care provider with primary practice located at 939 Caroline St , Port Angeles WA 98362-3909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Gacek, Edward M can be contacted via phone (360) 417-7000.

Contact Information

Primary practice address
939 Caroline St Port Angeles WA 98362-3909
Phone: (360) 417-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD00022939 Washington

Profile Details

NPI number 1679540793
LBN Legal business name Gacek, Edward M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2006
Last updated Jun 6th, 2012 - about 12 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 1679540793 NPPES
Other 1110GA REGENCE BLUE SHIELD RIDER
MEDICAID 1008168 REGENCE BLUE SHIELD RIDER
Other 110219614 REGENCE BLUE SHIELD RIDER

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