Gewirz, Marjorie Nikki

Gewirz, Marjorie Nikki is an individual health care provider with primary practice located at 44 S Main St Surgical Associates, Randolph VT 05060-1381. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Gewirz, Marjorie Nikki can be contacted via phone (802) 728-2372.

Contact Information

Primary practice address
44 S Main St Surgical Associates Randolph VT 05060-1381
Phone: (802) 728-2372
Fax: (802) 728-2613
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0581 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 055-0031029 Vermont
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 055-0030993 Vermont
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 055-0030993 Vermont

Profile Details

NPI number 1720021918
LBN Legal business name Gewirz, Marjorie Nikki
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Oct 30th, 2023 - about 3 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 1720021918 NPPES
Vermont Other 0013358 MEDICARE PTAN
Vermont MEDICAID 9000284 MEDICARE PTAN

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