Gundel, Walter D
Gundel, Walter D is an individual health care provider with primary practice located at 364 Dorset St Suite1, South Burlington VT 05403-6270. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Gundel, Walter D can be contacted via phone (802) 862-6312.Contact Information
Primary practice address
364 Dorset St Suite1
South Burlington VT 05403-6270
Phone: (802) 862-6312
Fax: (802) 658-3984
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 042-0004309 | Vermont |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 042-0004309 | Vermont |
Profile Details
| NPI number | 1922066026 |
|---|---|
| LBN Legal business name | Gundel, Walter D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Oct 5th, 2009 - 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 | 1922066026 | NPPES |
| Vermont | MEDICAID | 0004977 | |
| Vermont | Other | 060026200 | |
| Vermont | MEDICAID | 00662184 |
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