NPI 1861400665 · live from the CMS NPI Registry
Gregory Lawrence Ehle, MMSc, PA-c
Physician Assistant, Medical in Burlington, VT. National Provider Identifier 1861400665, active.
NPI record
| NPI | 1861400665 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 111 Colchester Ave, Mcclure 1 Cardiology, Burlington, VT 05401 |
| Practice phone | 802-847-3352 |
| Mailing address | 439 Big Hollow Rd, Starksboro, VT 05487 |
| Enumerated | August 4, 2006 |
| Last updated | July 9, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | 0550030643 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.