Gage, Jennifer Cerny

Gage, Jennifer Cerny is an individual health care provider with primary practice located at 111 Colchester Ave , Burlington VT 05401-1473. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Gage, Jennifer Cerny can be contacted via phone (802) 847-2415.

Contact Information

Primary practice address
111 Colchester Ave Burlington VT 05401-1473
Phone: (802) 847-2415
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 9300390 North Carolina
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 042.0014182 Vermont

Profile Details

NPI number 1629066154
LBN Legal business name Gage, Jennifer Cerny
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Dec 5th, 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 1629066154 NPPES
South Carolina Other N00390 MEDICAID
South Carolina MEDICAID 8911269 MEDICAID

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