Gaudreault, Pascal E.

Gaudreault, Pascal E. is an individual health care provider with primary practice located at 1390 Us Highway 61 Ste N1500 , Festus MO 63028. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Gaudreault, Pascal E. can be contacted via phone (636) 933-9300.

Contact Information

Primary practice address
1390 Us Highway 61 Ste N1500 Festus MO 63028
Phone: (636) 933-9300
Fax: (636) 933-9114
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X K9279 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K9279 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2018021841 Missouri

Profile Details

NPI number 1811982754
LBN Legal business name Gaudreault, Pascal E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Nov 29th, 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 1811982754 NPPES
Other 080162163 RAILROAD MEDICARE
MEDICAID 129533904 RAILROAD MEDICARE

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