Gauvreau, Douglas Kent

Gauvreau, Douglas Kent is an individual health care provider with primary practice located at 151 Main St , Westbrook ME 04092-4808. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Gauvreau, Douglas Kent can be contacted via phone (207) 854-1801.

Contact Information

Primary practice address
151 Main St Westbrook ME 04092-4808
Phone: (207) 854-1801
Fax: (207) 854-0260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X OPT554 Maine

Profile Details

NPI number 1104956143
LBN Legal business name Gauvreau, Douglas Kent
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Jul 23rd, 2009 - about 15 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 1104956143 NPPES
Maine Other 0468580001 MEDICARE DMEPOS
Maine Other 410032606 MEDICARE DMEPOS
Maine MEDICAID 107830099 MEDICARE DMEPOS
Maine Other 000378 MEDICARE DMEPOS

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