Provider Demographics
NPI:1457787525
Name:RAMSEY, GAEL D
Entity Type:Individual
Prefix:
First Name:GAEL
Middle Name:D
Last Name:RAMSEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 S LIMIT AVE
Mailing Address - Street 2:
Mailing Address - City:SEDALIA
Mailing Address - State:MO
Mailing Address - Zip Code:65301-3655
Mailing Address - Country:US
Mailing Address - Phone:660-826-5930
Mailing Address - Fax:660-826-5943
Practice Address - Street 1:146 S LIMIT AVE
Practice Address - Street 2:
Practice Address - City:SEDALIA
Practice Address - State:MO
Practice Address - Zip Code:65301-3655
Practice Address - Country:US
Practice Address - Phone:660-826-5930
Practice Address - Fax:660-826-5943
Is Sole Proprietor?:No
Enumeration Date:2013-09-20
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012012706237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2012012706OtherHEARING AID DISPENSER LICENSE