Slater, Gary W

Slater, Gary W is an individual health care provider with primary practice located at 611 W. Park St. Cardiovascular And Thoracic Surgery, Urbana IL 61801. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Slater, Gary W can be contacted via phone (217) 904-7000.

Contact Information

Primary practice address
611 W. Park St. Cardiovascular And Thoracic Surgery Urbana IL 61801
Phone: (217) 904-7000
Fax: (217) 904-7742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 85000374 Illinois

Profile Details

NPI number 1265650998
LBN Legal business name Slater, Gary W
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated May 12th, 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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