Gerdes, Tammy Michelle

Gerdes, Tammy Michelle is an individual health care provider with primary practice located at 1823 Vt Rte 107 , Bethel VT 05032-9107. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Gerdes, Tammy Michelle can be contacted via phone (802) 234-9913.

Contact Information

Primary practice address
1823 Vt Rte 107 Bethel VT 05032-9107
Phone: (802) 234-9913
Fax: (802) 234-5507
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0550030955 Vermont
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0550030954 Vermont

Profile Details

NPI number 1639273246
LBN Legal business name Gerdes, Tammy Michelle
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Jun 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639273246 NPPES
Vermont Other 0010134 MEDICARE PTAN
Vermont MEDICAID 9000412 MEDICARE PTAN

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