Evenson, Samuel
Evenson, Samuel is an individual health care provider with primary practice located at 350 Fisher Rd , Montpelier VT 05633-7901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Evenson, Samuel can be contacted via phone (802) 828-3300.Contact Information
Primary practice address
350 Fisher Rd
Montpelier VT 05633-7901
Phone: (802) 828-3300
Fax: (802) 828-2749
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 042.0014480 | Vermont |
Profile Details
| NPI number | 1124559075 |
|---|---|
| LBN Legal business name | Evenson, Samuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2017 |
| Last updated | Jun 14th, 2021 - about 3 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 | 1124559075 | NPPES |
| Vermont | MEDICAID | 1030302 |
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