Gros, Andre Gervais
Gros, Andre Gervais is an individual health care provider with primary practice located at 855 Belanger St Suite 209, Houma LA 70360-4463. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gros, Andre Gervais can be contacted via phone (985) 873-0112.Contact Information
Primary practice address
855 Belanger St Suite 209
Houma LA 70360-4463
Phone: (985) 873-0112
Fax: (985) 857-8624
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APO3855 | Louisiana |
Profile Details
| NPI number | 1215065073 |
|---|---|
| LBN Legal business name | Gros, Andre Gervais |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Sep 25th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215065073 | NPPES |
| Louisiana | MEDICAID | 1109983 |
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