Coddaire, David M

Coddaire, David M is an individual health care provider with primary practice located at 609 Washington Hwy , Morrisville VT 05661-8652. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Coddaire, David M can be contacted via phone (802) 888-5639.

Contact Information

Primary practice address
609 Washington Hwy Morrisville VT 05661-8652
Fax: (802) 888-6040
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 042-0005100 Vermont

Profile Details

NPI number 1376500058
LBN Legal business name Coddaire, David M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Aug 3rd, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376500058 NPPES
Vermont Other 080103401 RR MEDICARE
Vermont MEDICAID 0004692 RR MEDICARE
Vermont Other 8000718 RR MEDICARE
Vermont Other 00004692 RR MEDICARE

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