Gladieux, Gary F

Gladieux, Gary F is an individual health care provider with primary practice located at 5757 Monclova Rd Suite 10, Maumee OH 43537-1863. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Gladieux, Gary F can be contacted via phone (419) 887-0803.

Contact Information

Primary practice address
5757 Monclova Rd Suite 10 Maumee OH 43537-1863
Fax: (419) 887-0817
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35-05-6893-G Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35.056893 Ohio

Profile Details

NPI number 1891790804
LBN Legal business name Gladieux, Gary F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jan 31st, 2013 - about 13 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 1891790804 NPPES
Ohio MEDICAID 0735459
Ohio Other 810547599052
Ohio MEDICAID 4433656
Ohio Other 000000271433
Ohio Other 930120439

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