Gaudet, Ross Gregory

Gaudet, Ross Gregory is an individual health care provider with primary practice located at 250 Bon Air Rd , Greenbrae CA 94904-1702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Gaudet, Ross Gregory can be contacted via phone (415) 925-7100.

Contact Information

Primary practice address
250 Bon Air Rd Greenbrae CA 94904-1702
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 288790 New York
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 163250 California

Profile Details

NPI number 1356616619
LBN Legal business name Gaudet, Ross Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2012
Last updated Apr 15th, 2020 - about 4 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 1356616619 NPPES
Louisiana MEDICAID 2300512

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