Evergreen

LBN: Emil P. Miskovsky Md Pc
Evergreen is an health care organization with primary practice located at 140 Hospital Dr Suite 215, Bennington VT 05201-5009. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Emil P. Miskovsky Md Pc can be contacted via phone (802) 442-4785, or through Miskovsky, Emil P. via phone (802) 442-4785.

Contact Information

Primary practice address
140 Hospital Dr Suite 215 Bennington VT 05201-5009
Fax:
Website:
Authorized official contact:
Name: Miskovsky, Emil P. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X

Profile Details

NPI number 1528023116
LBN Legal business name Emil P. Miskovsky Md Pc
DBA Doing business as Evergreen
Authorized official Miskovsky, Emil P. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2006
Last updated Jun 13th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528023116 NPPES
Vermont MEDICAID 1007971

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