Gamache, Terry L

Gamache, Terry L is an individual health care provider with primary practice located at 1366 S 5Th St , Saint Charles MO 63301-2444. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Gamache, Terry L can be contacted via phone (636) 946-9399.

Contact Information

Primary practice address
1366 S 5Th St Saint Charles MO 63301-2444
Phone: (636) 946-9399
Fax: (636) 947-1972
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 000344 Missouri

Profile Details

NPI number 1487656138
LBN Legal business name Gamache, Terry L
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated May 7th, 2015 - about 9 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 1487656138 NPPES
Missouri MEDICAID 300749900

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