Gavryck, Wayne A
Gavryck, Wayne A is an sole proprietor health care provider with primary practice located at 8 Burnham St , Turners Falls MA 01376-1816. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Gavryck, Wayne A can be contacted via phone (413) 774-5554.Contact Information
Primary practice address
8 Burnham St
Turners Falls MA 01376-1816
Phone: (413) 774-5554
Fax: (413) 775-9137
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | MA47621 | Massachusetts |
Profile Details
| NPI number | 1780673970 |
|---|---|
| LBN Legal business name | Gavryck, Wayne A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2005 |
| Last updated | Sep 15th, 2010 - about 15 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 | 1780673970 | NPPES |
| Massachusetts | MEDICAID | 0138487 |
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