Guimaraes Rangel, Gustavo
Guimaraes Rangel, Gustavo is an individual health care provider with primary practice located at 200 Patewood Dr Ste B400 , Greenville SC 29615-6306. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is his primary health care specialty. Guimaraes Rangel, Gustavo can be contacted via phone (864) 454-4368.Contact Information
Primary practice address
200 Patewood Dr Ste B400
Greenville SC 29615-6306
Phone: (864) 454-4368
Fax: (864) 241-9232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 57.246883 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | AL87649 | South Carolina |
Profile Details
| NPI number | 1023679271 |
|---|---|
| LBN Legal business name | Guimaraes Rangel, Gustavo |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2019 |
| Last updated | Sep 27th, 2022 - about 2 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 | 1023679271 | NPPES |
| South Carolina | MEDICAID | 876494 |
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