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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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