Chaloult, Gary M

Chaloult, Gary M is an sole proprietor health care provider with primary practice located at 35 S Gage Rd , Oakland ME 04963. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Chaloult, Gary M can be contacted via phone (207) 649-7855.

Contact Information

Primary practice address
35 S Gage Rd Oakland ME 04963
Fax: (207) 465-2458
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP81524 Maine

Profile Details

NPI number 1649249079
LBN Legal business name Chaloult, Gary M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2006
Last updated Aug 18th, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649249079 NPPES
Maine MEDICAID METPID007828

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