Bannach, Alexandra
Bannach, Alexandra is an individual health care provider with primary practice located at 121 Medical Village Dr , Newport VT 05855-9834. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bannach, Alexandra can be contacted via phone (802) 334-5929.Contact Information
Primary practice address
121 Medical Village Dr
Newport VT 05855-9834
Phone: (802) 334-5929
Fax: (802) 487-1051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 042-0010849 | Vermont |
Profile Details
| NPI number | 1518953942 |
|---|---|
| LBN Legal business name | Bannach, Alexandra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518953942 | NPPES |
| Vermont | MEDICAID | 1011209 | |
| Vermont | Other | 00068445 |
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