Gaudet, Robert J

Gaudet, Robert J is an sole proprietor health care provider with primary practice located at 1773 Rose Ridge , Clintwood VA 24228. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Gaudet, Robert J can be contacted via phone (276) 218-0032.

Contact Information

Primary practice address
1773 Rose Ridge Clintwood VA 24228
Phone: (276) 218-0032
Fax: (276) 276-9260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101036758 Virginia
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 0101367586 Virginia
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine 2083P0500X D35461 Maryland

Profile Details

NPI number 1518908169
LBN Legal business name Gaudet, Robert J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2006
Last updated Aug 9th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518908169 NPPES
Maryland MEDICAID 549841400
Maryland MEDICAID 5600378000
Maryland MEDICAID 1518908169

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