Gaudreault, Rachel Nicole
Gaudreault, Rachel Nicole is an sole proprietor health care provider with primary practice located at 6800 State Route 162 , Maryville IL 62062-8500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gaudreault, Rachel Nicole can be contacted via phone (618) 570-9021.Contact Information
Primary practice address
6800 State Route 162
Maryville IL 62062-8500
Phone: (618) 570-9021
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085008785 | Illinois |
Profile Details
| NPI number | 1588255772 |
|---|---|
| LBN Legal business name | Gaudreault, Rachel Nicole |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2021 |
| Last updated | Jul 7th, 2022 - about 2 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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