Doherty Fuller, Eileen

Doherty Fuller, Eileen is an individual health care provider with primary practice located at 1330 Exchange St Ste 201 , Middlebury VT 05753-4464. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Doherty Fuller, Eileen can be contacted via phone (802) 388-1500.

Contact Information

Primary practice address
1330 Exchange St Ste 201 Middlebury VT 05753-4464
Fax: (802) 388-0441
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 042-007267 Vermont

Profile Details

NPI number 1679551071
LBN Legal business name Doherty Fuller, Eileen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Oct 14th, 2020 - about 5 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 1679551071 NPPES
Vermont MEDICAID 0005628

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