Gast, Ellsworth P

Gast, Ellsworth P is an individual health care provider with primary practice located at 1995 Main St , Green Bay WI 54302-3920. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Gast, Ellsworth P can be contacted via phone (920) 465-6210.

Contact Information

Primary practice address
1995 Main St Green Bay WI 54302-3920
Phone: (920) 465-6210
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 7587-040 Wisconsin

Profile Details

NPI number 1003186073
LBN Legal business name Gast, Ellsworth P
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2012
Last updated Jan 9th, 2012 - about 14 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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