Blick, Gary
Blick, Gary is an individual health care provider with primary practice located at 2595 Main St , Stratford CT 06615-5855. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Blick, Gary can be contacted via phone (203) 345-0404.Contact Information
Primary practice address
2595 Main St
Stratford CT 06615-5855
Phone: (203) 345-0404
Fax: (203) 908-4110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 027524 | Connecticut |
Profile Details
| NPI number | 1598837957 |
|---|---|
| LBN Legal business name | Blick, Gary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Jun 6th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598837957 | NPPES |
| Connecticut | MEDICAID | 001275247 | |
| Connecticut | MEDICAID | 02555264 |
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