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Contact Information

TANNER D MATHIAS, MD
160 ALLEN ST
RUTLAND, VT05701
 Phone: 802-772-2460
 Fax: 802-772-2556
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for TANNER D MATHIAS · (Male)

NPI # 1801258611
Status Active
Credentials MD
Entity Individual
Enumeration date 03/22/2016
Last updated 01/09/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CO License # DR.0059517
  • CO License # TL.0006164
  • VT License # 042.0014423
Hospital affiliation(s)
  • RUTLAND REGIONAL MEDICAL CENTER - (Acute Care)
    160 ALLEN ST
    RUTLAND, VT 05701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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