Vitale, Gary C

Vitale, Gary C is an individual health care provider with primary practice located at 401 E Chestnut St Ste 710, Louisville KY 40202-5700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Vitale, Gary C can be contacted via phone (502) 583-8303.

Contact Information

Primary practice address
401 E Chestnut St Ste 710 Louisville KY 40202-5700
Phone: (502) 583-8303
Fax: (502) 584-0302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 20934 Kentucky

Profile Details

NPI number 1336128867
LBN Legal business name Vitale, Gary C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Aug 20th, 2009 - about 17 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 1336128867 NPPES
Indiana MEDICAID 100344390A
Indiana Other 1051082
Indiana MEDICAID 64209349

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