Gerardot, David D

Gerardot, David D is an sole proprietor health care provider with primary practice located at 1800 Cooper Point Rd Sw Bldg. #17, Olympia WA 98502-1178. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult is his primary health care specialty. Gerardot, David D can be contacted via phone (360) 352-1668.

Contact Information

Primary practice address
1800 Cooper Point Rd Sw Bldg. #17 Olympia WA 98502-1178
Phone: (360) 352-1668
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH00003805 Washington
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X AP30006965 Washington

Profile Details

NPI number 1467623520
LBN Legal business name Gerardot, David D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2008
Last updated Mar 13th, 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 1467623520 NPPES
Other G8856848 GROUP PIN

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