Gault, Andrew D

Gault, Andrew D is an individual health care provider with primary practice located at 1950 Nw Myhre Rd Fl 3 , Silverdale WA 98383-7662. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Gault, Andrew D can be contacted via phone (564) 240-4200.

Contact Information

Primary practice address
1950 Nw Myhre Rd Fl 3 Silverdale WA 98383-7662
Phone: (564) 240-4200
Fax: (564) 240-4299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 27622 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP61186242 Washington

Profile Details

NPI number 1619547650
LBN Legal business name Gault, Andrew D
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2021
Last updated Nov 22nd, 2021 - 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 1619547650 NPPES
Washington MEDICAID 2189401

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