Perez, Gaston O.
Perez, Gaston O. is an sole proprietor health care provider with primary practice located at 14 Oak Forest Rd Suite D, Bluffton SC 29910-4988. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Perez, Gaston O. can be contacted via phone (843) 815-6468.Contact Information
Primary practice address
14 Oak Forest Rd Suite D
Bluffton SC 29910-4988
Phone: (843) 815-6468
Fax: (843) 815-6492
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 17810 | South Carolina |
Profile Details
NPI number | 1629188586 |
---|---|
LBN Legal business name | Perez, Gaston O. |
Credentials | M.D. F.A.A.F.P. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 30th, 2006 |
Last updated | Oct 10th, 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 | 1629188586 | NPPES |
South Carolina | MEDICAID | 17814 |
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