Donnelly, Harley Daniel
Donnelly, Harley Daniel is an individual health care provider with primary practice located at 586 Oak Hill Rd , Williston VT 05495. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Donnelly, Harley Daniel can be contacted via phone (802) 878-8131.Contact Information
Primary practice address
586 Oak Hill Rd
Williston VT 05495
Phone: (802) 878-8131
Fax: (802) 879-8653
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 8807 | Vermont |
Profile Details
| NPI number | 1417967787 |
|---|---|
| LBN Legal business name | Donnelly, Harley Daniel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Dec 2nd, 2009 - about 16 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 | 1417967787 | NPPES |
| Vermont | MEDICAID | OVN0733 |
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