Gautier, Damaris
Gautier, Damaris is an individual health care provider with primary practice located at 2750 Gause Blvd E , Slidell LA 70461-4149. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Gautier, Damaris can be contacted via phone (985) 639-3777.Contact Information
Primary practice address
2750 Gause Blvd E
Slidell LA 70461-4149
Phone: (985) 639-3777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD.09815R | Louisiana |
Profile Details
| NPI number | 1720046543 |
|---|---|
| LBN Legal business name | Gautier, Damaris |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1720046543 | NPPES |
| Louisiana | MEDICAID | 1663352 |
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