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Contact Information

VERMONT PAIN MANAGEMENT PC
1 KENNEDY DR STE U1
SOUTH BURLINGTON, VT05403-7166
 Phone: 802-861-6100
 Fax: 802-861-6101
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for VERMONT PAIN MANAGEMENT PC · (Female)

NPI Number 1962558502
Status Active
Credentials
Entity Individual
Enumeration date 01/26/2007
Last updated 03/05/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • VT License # 032-0000427
  • VT Medicaid 0VN3435
  • Other DE5743 RR MEDICARE
  • VT Other 59779 BC BS OF VT
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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