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Contact Information

JOHN D GONSOULIN, MD
9633 LEVIN RD NW STE 103
SILVERDALE, WA98383
 Phone: 360-337-8200
 Fax: 360-337-6956
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for JOHN D GONSOULIN · (Male)

NPI # 1073761524
Status Active
Credentials MD
Entity Individual
Enumeration date 09/08/2008
Last updated 10/02/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD60170773
Hospital affiliation(s)
  • HARRISON MEDICAL CENTER - (Acute Care)
    2520 CHERRY AVENUE
    BREMERTON, WA 98310
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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