Diner, Murray

Diner, Murray is an individual health care provider with primary practice located at 53 Main St , Richford VT 05476-1151. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Diner, Murray can be contacted via phone (802) 848-3829.

Contact Information

Primary practice address
53 Main St Richford VT 05476-1151
Fax: (802) 848-3849
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 016.0002044 Vermont

Profile Details

NPI number 1023093606
LBN Legal business name Diner, Murray
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Jun 10th, 2015 - about 9 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 1023093606 NPPES
Vermont MEDICAID 1006289

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