Amundson, Gary M
Amundson, Gary M is an individual health care provider with primary practice located at 750 E Adams St , Syracuse NY 13210-2342. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Radiology, which is considered as his primary health care specialty. Amundson, Gary M can be contacted via phone (315) 464-7433.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | MD420848 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 46808-020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 21983 | Nebraska |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 42387 | Minnesota |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 4301053830 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 35.043846 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 28490 | South Carolina |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | MD00047561 | Washington |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 41082 | Kentucky |
Profile Details
| NPI number | 1720031446 |
|---|---|
| LBN Legal business name | Amundson, Gary M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Jan 24th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720031446 | NPPES |
| Kentucky | Other | 64037203 | MEDICAID |
| Kentucky | Other | 000000565302 | MEDICAID |
| Kentucky | Other | 00533040 | MEDICAID |
| Kentucky | Other | 3525222000 | MEDICAID |
| Kentucky | Other | 50019410 | MEDICAID |
| Kentucky | Other | 096386 | MEDICAID |
| Kentucky | MEDICAID | 200331670 | MEDICAID |
| Kentucky | Other | 0000230324 | MEDICAID |
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