Idelchik, Gary M

Idelchik, Gary M is an individual health care provider with primary practice located at 1230 E 1St St , Casper WY 82601-2704. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Idelchik, Gary M can be contacted via phone (307) 266-3174.

Contact Information

Primary practice address
1230 E 1St St Casper WY 82601-2704
Phone: (307) 266-3174
Fax: (307) 266-3177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME133430 Florida
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 259398 New York
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 13381A Wyoming

Profile Details

NPI number 1811131311
LBN Legal business name Idelchik, Gary M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2009
Last updated Sep 27th, 2022 - about 3 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 1811131311 NPPES
Wyoming MEDICAID 157420500
Wyoming MEDICAID 102451000
Wyoming MEDICAID 03824182

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