Gualdoni, Louis Paul

Gualdoni, Louis Paul is an individual health care provider with primary practice located at 1802 Braeburn Dr Suite 1310, Salem VA 24153-7357. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Gualdoni, Louis Paul can be contacted via phone (540) 776-2020.

Contact Information

Primary practice address
1802 Braeburn Dr Suite 1310 Salem VA 24153-7357
Phone: (540) 776-2020
Fax: (540) 776-2017
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0110840653 Virginia

Profile Details

NPI number 1518949544
LBN Legal business name Gualdoni, Louis Paul
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Apr 25th, 2008 - about 17 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 1518949544 NPPES
Virginia Other P00453910 RAILROAD MEDICARE
Virginia MEDICAID 010400856 RAILROAD MEDICARE

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