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Contact Information

JOHANNES C NUNNINK, MD
111 COLCHESTER AVE
BURLINGTON, VT05401-1473
 Phone: 802-656-0546
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JOHANNES C NUNNINK · (Male)

NPI # 1861499964
Status Active
Credentials MD
Entity Individual
Enumeration date 07/05/2005
Last updated 02/13/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • VT License # 042-0006659
  • VT Medicaid 0005418
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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