An, Gary Chun-I

An, Gary Chun-I is an individual health care provider with primary practice located at 111 Colchester Ave , Burlington VT 05401-1473. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. An, Gary Chun-I can be contacted via phone (802) 847-3790.

Contact Information

Primary practice address
111 Colchester Ave Burlington VT 05401-1473
Phone: (802) 847-3790
Fax: (312) 695-1462
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 036-087054 Illinois
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 036-087054 Illinois
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 042.0014189 Vermont

Profile Details

NPI number 1093829830
LBN Legal business name An, Gary Chun-I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Oct 4th, 2018 - about 7 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 1093829830 NPPES
Illinois MEDICAID 356670

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