Noble, Gavin L

Noble, Gavin L is an individual health care provider with primary practice located at 61 Court Dr , Brandon VT 05733-8407. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Noble, Gavin L can be contacted via phone (802) 382-3443.

Contact Information

Primary practice address
61 Court Dr Brandon VT 05733-8407
Phone: (802) 382-3443
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 042-0013148 Vermont
Other Service Providers / Specialist 174400000X MD26753 Oregon
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD26753 Oregon
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD26753 Oregon

Profile Details

NPI number 1750335014
LBN Legal business name Noble, Gavin L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jul 11th, 2023 - about 2 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 1750335014 NPPES
Oregon MEDICAID 028459
Oregon Other 00397411

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