National Provider Identifier Database

NORTHERN VERMONT DERMATOLOGY PLC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

NORTHERN VERMONT DERMATOLOGY, PLC
53 FAIRFAX RD STE 2
SAINT ALBANS CITY, VT05478-4405
Phone: 833-688-3376
Fax:
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X
Dermatology 207N00000X

* Indicates primary specialty

NPI Profile & details for NORTHERN VERMONT DERMATOLOGY, PLC

NPI Number 1922593060
Legal business name
LBN
NORTHERN VERMONT DERMATOLOGY, PLC
Authorized official STEPHANIE NEIDER - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/29/2018
Last updated 11/23/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • VT License #: 0420013164

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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