Gottschalk, Andrew William

Gottschalk, Andrew William is an individual health care provider with primary practice located at 1201 S Clearview Pkwy Ste 104, Jefferson LA 70121-1015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Gottschalk, Andrew William can be contacted via phone (504) 736-4800.

Contact Information

Primary practice address
1201 S Clearview Pkwy Ste 104 Jefferson LA 70121-1015
Phone: (504) 736-4800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD441388 Pennsylvania
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 259369 New York
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD208145 Louisiana

Profile Details

NPI number 1184745952
LBN Legal business name Gottschalk, Andrew William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Dec 30th, 2015 - about 9 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 1184745952 NPPES
New York MEDICAID 03296595
New York MEDICAID 778143000
New York MEDICAID 00709541
New York MEDICAID 102534788
New York MEDICAID 2402706

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