Dehaas, Sherri Lyn
Dehaas, Sherri Lyn is an individual health care provider with primary practice located at 148 Convent Ave , Bennington VT 05201-1709. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dehaas, Sherri Lyn can be contacted via phone (802) 753-7553.Contact Information
Primary practice address
148 Convent Ave
Bennington VT 05201-1709
Phone: (802) 753-7553
Fax: (802) 753-7553
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 60 249093 | New York |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 042-0011611 | Vermont |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD-074113-L | Pennsylvania |
Profile Details
| NPI number | 1013900406 |
|---|---|
| LBN Legal business name | Dehaas, Sherri Lyn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Jul 30th, 2013 - about 11 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 | 1013900406 | NPPES |
| Pennsylvania | Other | 925577 | BC/BS |
| Pennsylvania | MEDICAID | 0019050740008 | BC/BS |
| Pennsylvania | Other | P004532 | BC/BS |
| Pennsylvania | Other | 55470 | BC/BS |
| Pennsylvania | Other | 7473379 | BC/BS |
| Pennsylvania | Other | 080185013 | BC/BS |
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