Moelich, Gary

Moelich, Gary is an individual health care provider with primary practice located at 100 Hospital Drive , Bennington VT 05201. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Moelich, Gary can be contacted via phone (802) 442-6361.

Contact Information

Primary practice address
100 Hospital Drive Bennington VT 05201
Phone: (802) 442-6361
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 002862 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X AAA0000021 Vermont

Profile Details

NPI number 1821171794
LBN Legal business name Moelich, Gary
Credentials Associate of Arts (AA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Mar 28th, 2008 - about 16 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 1821171794 NPPES
Vermont MEDICAID 1014522

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