Vesely, Gary Eddie
Vesely, Gary Eddie is an individual health care provider with primary practice located at 10541 W Thunderbird Blvd , Sun City AZ 85351-3006. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Vesely, Gary Eddie can be contacted via phone (865) 777-0909.Contact Information
Primary practice address
10541 W Thunderbird Blvd
Sun City AZ 85351-3006
Phone: (865) 777-0909
Fax: (865) 777-0910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | CRNA0010 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 034999 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 1813 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | RN075834 | Arizona |
Profile Details
| NPI number | 1518056134 |
|---|---|
| LBN Legal business name | Vesely, Gary Eddie |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Sep 13th, 2018 - about 6 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 | 1518056134 | NPPES |
| Arizona | MEDICAID | 144923 |
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