Gavieres, Vicente

Gavieres, Vicente is an individual health care provider with primary practice located at 639 N Mulberry St , Elizabethtown KY 42701-1931. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gavieres, Vicente can be contacted via phone (270) 737-4600.

Contact Information

Primary practice address
639 N Mulberry St Elizabethtown KY 42701-1931
Fax: (270) 737-1722
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 30687 Kentucky

Profile Details

NPI number 1457356131
LBN Legal business name Gavieres, Vicente
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Mar 19th, 2008 - about 17 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 1457356131 NPPES
Kentucky MEDICAID 64306871

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