Gehrett, Mary Jo
Gehrett, Mary Jo 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 Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Gehrett, Mary Jo can be contacted via phone (802) 847-1400.Contact Information
Primary practice address
111 Colchester Ave
Burlington VT 05401-1473
Phone: (802) 847-1400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 101.0043918 | Vermont |
Profile Details
| NPI number | 1710075049 |
|---|---|
| LBN Legal business name | Gehrett, Mary Jo |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Sep 12th, 2014 - about 11 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 | 1710075049 | NPPES |
| Connecticut | Other | 400CNM151CT01 | BC/BS |
| Connecticut | MEDICAID | 004195154 | BC/BS |
| Connecticut | Other | 515014 | BC/BS |
| Connecticut | Other | 243828 | BC/BS |
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