Ladouceur, Gregory Paul
Ladouceur, Gregory Paul is an individual health care provider with primary practice located at 155 Wabasha St S Suite 130, Saint Paul MN 55107-1801. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Ladouceur, Gregory Paul can be contacted via phone (651) 291-7047.Contact Information
Primary practice address
155 Wabasha St S Suite 130
Saint Paul MN 55107-1801
Phone: (651) 291-7047
Fax: (651) 291-2505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4278 | Minnesota |
Profile Details
| NPI number | 1265407860 |
|---|---|
| LBN Legal business name | Ladouceur, Gregory Paul |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265407860 | NPPES |
| Minnesota | Other | 4278 | PT LICENSE |
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