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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 7 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 1518056134 NPPES
Arizona MEDICAID 144923

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