Gerst, Dacia R

Gerst, Dacia R is an individual health care provider with primary practice located at 409 W Oak St , Carbondale IL 62901-1464. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Gerst, Dacia R can be contacted via phone (618) 529-4455.

Contact Information

Primary practice address
409 W Oak St Carbondale IL 62901-1464
Phone: (618) 529-4455
Fax: (618) 351-1287
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209005199 Illinois

Profile Details

NPI number 1104874338
LBN Legal business name Gerst, Dacia R
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jun 4th, 2024 - about 3 months 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 1104874338 NPPES
Other P00303539 RR MEDICARE HEARTLAND

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