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Contact Information

EMMETT E WHITAKER III, MD
111 COLCHESTER AVE
BURLINGTON, VT05401-1473
 Phone: 802-847-2415
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for EMMETT E WHITAKER III · (Male)

NPI # 1609916311
Status Active
Credentials MD
Entity Individual
Enumeration date 02/08/2007
Last updated 10/26/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MD License # D73475
  • OH License # 35.121452
  • VT License # 042.0013903
  • OH Medicaid 0094956
Hospital affiliation(s) Not Available
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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