Gauderer, Michael W

Gauderer, Michael W is an individual health care provider with primary practice located at 890 W Faris Rd Suite 440, Greenville SC 29605-4247. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gauderer, Michael W can be contacted via phone (864) 455-5125.

Contact Information

Primary practice address
890 W Faris Rd Suite 440 Greenville SC 29605-4247
Phone: (864) 455-5125
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 17609 South Carolina

Profile Details

NPI number 1841233848
LBN Legal business name Gauderer, Michael W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Dec 11th, 2009 - about 16 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 1841233848 NPPES
South Carolina Other 57-6007863046 BCBS OF SC
South Carolina Other 1265047 BCBS OF SC
South Carolina MEDICAID 176099 BCBS OF SC
South Carolina Other 4007279 BCBS OF SC

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