Individual
GUS G. EMMICK
Active
Individual
GUS G. EMMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11270
NH
208000000X
Pediatrics Physician
11270
NH
208000000X
Pediatrics Physician
285593
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01YP03155NH01
ANTHEM ACES PIN
NH
01
—
0443297
UHC PIN
NH
01
—
112700
TUFTS PIN
NH
01
—
2575641
AETNA PIN
NH
05
—
30201479
—
NH
01
—
520230
CIGNA PIN
NH
01
—
990015540
RR MEDICARE PIN
NH
01
—
H43842
ANTHEM REFERRING UPIN
NH
01
—
NH2088
HPHC PIN
NH
Enumeration date
11/09/2005
Last updated
07/24/2024
Update your record
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