Gamache, Mary Carolyn
Gamache, Mary Carolyn is an individual health care provider with primary practice located at 450 N New Ballas Rd Suite 170, Saint Louis MO 63141-6835. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Gamache, Mary Carolyn can be contacted via phone (314) 993-6969.Contact Information
Primary practice address
450 N New Ballas Rd Suite 170
Saint Louis MO 63141-6835
Phone: (314) 993-6969
Fax: (314) 993-0792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | R6H99 | Missouri |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | R6H99 | Missouri |
Profile Details
| NPI number | 1639176860 |
|---|---|
| LBN Legal business name | Gamache, Mary Carolyn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Jun 10th, 2011 - about 14 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 | 1639176860 | NPPES |
| Missouri | MEDICAID | 203017025 |
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