Gast, David M
Gast, David M is an sole proprietor health care provider with primary practice located at 15 Gracelawn Rd , Auburn ME 04210-6334. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Gast, David M can be contacted via phone (207) 333-4799.Contact Information
Primary practice address
15 Gracelawn Rd
Auburn ME 04210-6334
Phone: (207) 333-4799
Fax: (207) 333-4767
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 4301051117 | Michigan |
Profile Details
| NPI number | 1518953934 |
|---|---|
| LBN Legal business name | Gast, David M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2005 |
| Last updated | May 11th, 2021 - about 3 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 | 1518953934 | NPPES |
| Michigan | Other | 0690010 | BLUE SHIELD |
| Michigan | MEDICAID | 1518953934 | BLUE SHIELD |
| Michigan | MEDICAID | 2855852 | BLUE SHIELD |
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