Gault, Dominic Bruno
Gault, Dominic Bruno is an individual health care provider with primary practice located at 200 Patewood Dr Ste A330, Greenville SC 29615-3593. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sleep Medicine, which is considered as his primary health care specialty. Gault, Dominic Bruno can be contacted via phone (864) 454-5660.Contact Information
Primary practice address
200 Patewood Dr Ste A330
Greenville SC 29615-3593
Phone: (864) 454-5660
Fax: (864) 241-9233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2080S0012X | 29065 | South Carolina |
Profile Details
| NPI number | 1013022003 |
|---|---|
| LBN Legal business name | Gault, Dominic Bruno |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | May 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013022003 | NPPES |
| South Carolina | MEDICAID | 290651 |
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