Dennett, Douglas Edward
Dennett, Douglas Edward is an sole proprietor health care provider with primary practice located at 8 Carmichael St Unit 204, Essex Jct VT 05452-3216. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Dennett, Douglas Edward can be contacted via phone (802) 872-9263.Contact Information
Primary practice address
8 Carmichael St Unit 204
Essex Jct VT 05452-3216
Phone: (802) 872-9263
Fax: (802) 872-8222
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 0420007975 | Vermont |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 0420007975 | Vermont |
Profile Details
NPI number | 1518964154 |
---|---|
LBN Legal business name | Dennett, Douglas Edward |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 28th, 2005 |
Last updated | Aug 19th, 2015 - about 10 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 | 1518964154 | NPPES |
Vermont | Other | 00009967 | BCBS |
Vermont | Other | 20P005 | BCBS |
Vermont | Other | 71747 | BCBS |
Vermont | MEDICAID | 9532 | BCBS |
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