Depman, Mark R

Depman, Mark R is an individual health care provider with primary practice located at 130 Fisher Rd Emergency Medicine, Berlin VT 05602-9516. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Depman, Mark R can be contacted via phone (802) 371-4365.

Contact Information

Primary practice address
130 Fisher Rd Emergency Medicine Berlin VT 05602-9516
Phone: (802) 371-4365
Fax: (802) 371-4481
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 042.0011267 Vermont
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 027498 Connecticut

Profile Details

NPI number 1386714657
LBN Legal business name Depman, Mark R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Dec 17th, 2014 - 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 1386714657 NPPES
Vermont MEDICAID 1013283

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