Tickey, Gary M

Tickey, Gary M is an individual health care provider with primary practice located at 950 Campbell Ave , West Haven CT 06516-2770. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Tickey, Gary M can be contacted via phone (203) 932-5711.

Contact Information

Primary practice address
950 Campbell Ave West Haven CT 06516-2770
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 027615 Connecticut

Profile Details

NPI number 1740363779
LBN Legal business name Tickey, Gary M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Feb 22nd, 2015 - about 11 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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