Gervais, Donald Severinus

Gervais, Donald Severinus is an individual health care provider with primary practice located at 128 Neuroscience Ct , Gray LA 70359. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Gervais, Donald Severinus can be contacted via phone (985) 917-3007.

Contact Information

Primary practice address
128 Neuroscience Ct Gray LA 70359
Fax: (985) 917-3010
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD.022617 Louisiana

Profile Details

NPI number 1750387676
LBN Legal business name Gervais, Donald Severinus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Dec 11th, 2018 - about 7 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 1750387676 NPPES
Louisiana MEDICAID 1697508

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