Vittone, Gordon

Vittone, Gordon is an individual health care provider with primary practice located at 425 Pine Ridge Blvd Suite 211, Wausau WI 54401-4123. 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. Vittone, Gordon can be contacted via phone (715) 845-5505.

Contact Information

Primary practice address
425 Pine Ridge Blvd Suite 211 Wausau WI 54401-4123
Phone: (715) 845-5505
Fax: (715) 848-2884
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4565830 Wisconsin

Profile Details

NPI number 1568480010
LBN Legal business name Vittone, Gordon
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jul 9th, 2007 - about 17 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 1568480010 NPPES
Wisconsin Other 29700 SECURITY HEALTH MEDICAID
Wisconsin Other 29700 SECURITY HEALTH MEDICAID
Wisconsin MEDICAID 43274000 SECURITY HEALTH MEDICAID
Wisconsin Other VITTONE SECURITY HEALTH MEDICAID
Wisconsin Other 43274000 SECURITY HEALTH MEDICAID

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