Bennett, Roberta Karibo
Bennett, Roberta Karibo is an individual health care provider with primary practice located at 160 Benmont Ave Suite 20, Bennington VT 05201-1873. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Bennett, Roberta Karibo can be contacted via phone (802) 442-3520.Contact Information
Primary practice address
160 Benmont Ave Suite 20
Bennington VT 05201-1873
Phone: (802) 442-3520
Fax: (802) 447-3392
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 0420007424 | Vermont |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 0420007424 | Vermont |
Profile Details
NPI number | 1366512584 |
---|---|
LBN Legal business name | Bennett, Roberta Karibo |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 8th, 2006 |
Last updated | Sep 20th, 2010 - about 15 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 | 1366512584 | NPPES |
Vermont | MEDICAID | 0005143 |
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