Waldman, Gary David
Waldman, Gary David is an sole proprietor health care provider with primary practice located at 10512 Park Rd Suite 113, Charlotte NC 28210-8469. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Waldman, Gary David can be contacted via phone (704) 542-8018.Contact Information
Primary practice address
10512 Park Rd Suite 113
Charlotte NC 28210-8469
Phone: (704) 542-8018
Fax: (704) 542-7147
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 26610 | North Carolina |
Profile Details
| NPI number | 1487615795 |
|---|---|
| LBN Legal business name | Waldman, Gary David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Apr 3rd, 2012 - about 12 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 | 1487615795 | NPPES |
| North Carolina | MEDICAID | 7985246 | |
| North Carolina | Other | 070009176 | |
| North Carolina | Other | 85246 |
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