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
Fax: (802) 872-8222
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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