Gannon, Liam G.

Gannon, Liam G. is an individual health care provider with primary practice located at 100A Macdonough Dr , Vergennes VT 05491-1057. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Gannon, Liam G. can be contacted via phone (802) 877-0157.

Contact Information

Primary practice address
100A Macdonough Dr Vergennes VT 05491-1057
Phone: (802) 877-0157
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 0420010022 Vermont
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 042-0010022 Vermont

Profile Details

NPI number 1780648691
LBN Legal business name Gannon, Liam G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Apr 16th, 2024 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780648691 NPPES
Vermont MEDICAID 0VN2298
Vermont MEDICAID OVN2298

Popular Providers