Sweet, Gary Theodore
Sweet, Gary Theodore is an individual health care provider with primary practice located at 2606 Stewart Ave Ste 200 , Wausau WI 54401-5449. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Sweet, Gary Theodore can be contacted via phone (715) 847-2022.Contact Information
Primary practice address
2606 Stewart Ave Ste 200
Wausau WI 54401-5449
Phone: (715) 847-2022
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 47143-020 | Wisconsin |
Profile Details
| NPI number | 1023229382 |
|---|---|
| LBN Legal business name | Sweet, Gary Theodore |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2007 |
| Last updated | Aug 3rd, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023229382 | NPPES |
| Wisconsin | MEDICAID | 35369600 |
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