Egbert, Charles Cornelius
Egbert, Charles Cornelius is an individual health care provider with primary practice located at 71 Allen St Suite 203, Rutland VT 05701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Egbert, Charles Cornelius can be contacted via phone (802) 775-7798.Contact Information
Primary practice address
71 Allen St Suite 203
Rutland VT 05701
Phone: (802) 775-7798
Fax: (802) 775-7762
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0420008781 | Vermont |
Profile Details
| NPI number | 1669578902 |
|---|---|
| LBN Legal business name | Egbert, Charles Cornelius |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1669578902 | NPPES |
| Vermont | Other | 48181 | BCBS |
| Vermont | MEDICAID | OVN2913 | BCBS |
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