Gados, Mary E
Gados, Mary E is an individual health care provider with primary practice located at 23 San Remo Dr Suite 101, South Burlington VT 05403-6343. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Gados, Mary E can be contacted via phone (802) 865-0010.Contact Information
Primary practice address
23 San Remo Dr Suite 101
South Burlington VT 05403-6343
Phone: (802) 865-0010
Fax: (802) 865-0050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 040-0003314 | Vermont |
| Other Service Providers / Specialist | 174400000X | 020816-1 | New York |
Profile Details
| NPI number | 1164479978 |
|---|---|
| LBN Legal business name | Gados, Mary E |
| Credentials | MSPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1164479978 | NPPES |
| Vermont | MEDICAID | 1012150 | |
| Vermont | Other | 00058693 | |
| Vermont | Other | OOO3314 | |
| Vermont | Other | 385696 |
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