Lasalle, Gerard V
Lasalle, Gerard V is an individual health care provider with primary practice located at 1141 Beach Dr E , Port Orchard WA 98366-4937. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Lasalle, Gerard V can be contacted via phone (360) 895-4700.Contact Information
Primary practice address
1141 Beach Dr E
Port Orchard WA 98366-4937
Phone: (360) 895-4700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD00017511 | Washington |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | MD00017511 | Washington |
Profile Details
| NPI number | 1376587899 |
|---|---|
| LBN Legal business name | Lasalle, Gerard V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Nov 3rd, 2023 - about last year |
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 | 1376587899 | NPPES |
| Washington | Other | 0190073 | LIWA |
| Washington | Other | 0170816 | LIWA |
| Washington | Other | LA1174 | LIWA |
| Washington | Other | LA8001 | LIWA |
| Washington | Other | 2165LA | LIWA |
| Washington | MEDICAID | 8328601 | LIWA |
| Washington | Other | 0170825 | LIWA |
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