Misselbeck, Wayne Anton

Misselbeck, Wayne Anton is an sole proprietor health care provider with primary practice located at 36 S Main St Gifford Medical Center Emergency Department, Randolph VT 05060-1370. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Misselbeck, Wayne Anton can be contacted via phone (802) 728-7000.

Contact Information

Primary practice address
36 S Main St Gifford Medical Center Emergency Department Randolph VT 05060-1370
Phone: (802) 728-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 42-0007390 Vermont

Profile Details

NPI number 1326072281
LBN Legal business name Misselbeck, Wayne Anton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Feb 7th, 2014 - about 12 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 1326072281 NPPES
New Hampshire MEDICAID 80009231
New Hampshire MEDICAID E01066279
New Hampshire MEDICAID 0009231

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