Gaillardetz, Andrew M
Gaillardetz, Andrew M is an individual health care provider with primary practice located at 3 Saint Elizabeth Blvd Ste 4000 , O Fallon IL 62269-1284. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Gaillardetz, Andrew M can be contacted via phone (618) 233-5480.Contact Information
Primary practice address
3 Saint Elizabeth Blvd Ste 4000
O Fallon IL 62269-1284
Phone: (618) 233-5480
Fax: (618) 222-4792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036155817 | Illinois |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036.155817 | Illinois |
Profile Details
| NPI number | 1548764236 |
|---|---|
| LBN Legal business name | Gaillardetz, Andrew M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2018 |
| Last updated | Jul 2nd, 2024 - about last year |
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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