Weischedel, Garry Richard
Weischedel, Garry Richard is an sole proprietor health care provider with primary practice located at 1775 Williston Road , South Burlington VT 05403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Weischedel, Garry Richard can be contacted via phone (802) 847-8500.Contact Information
Primary practice address
1775 Williston Road
South Burlington VT 05403
Phone: (802) 847-8500
Fax: (802) 847-6140
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0420009937 | Vermont |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 44142 | Wisconsin |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 44498 | Minnesota |
Profile Details
NPI number | 1699706317 |
---|---|
LBN Legal business name | Weischedel, Garry Richard |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 5th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1699706317 | NPPES |
Wisconsin | MEDICAID | 34170200 | |
Wisconsin | MEDICAID | OVN2084 |
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