Brody, David
Brody, David is an sole proprietor health care provider with primary practice located at 1290 Hospital Dr Ste 2, St Johnsbury VT 05819-9239. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Brody, David can be contacted via phone (802) 748-2123.Contact Information
Primary practice address
1290 Hospital Dr Ste 2
St Johnsbury VT 05819-9239
Phone: (802) 748-2123
Fax: (802) 748-9884
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 042-0008867 | Vermont |
Profile Details
| NPI number | 1376529115 |
|---|---|
| LBN Legal business name | Brody, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Sep 26th, 2016 - about 8 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 | 1376529115 | NPPES |
| Vermont | MEDICAID | 0VN0790 |
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