Fauntleroy, Jennifer Mary
Fauntleroy, Jennifer Mary is an sole proprietor health care provider with primary practice located at 11 Court Sq , Rutland VT 05701-4030. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Fauntleroy, Jennifer Mary can be contacted via phone (802) 775-1398.Contact Information
Primary practice address
11 Court Sq
Rutland VT 05701-4030
Phone: (802) 775-1398
Fax: (802) 775-5196
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 042-0009568 | Vermont |
Profile Details
| NPI number | 1669448981 |
|---|---|
| LBN Legal business name | Fauntleroy, Jennifer Mary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 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 | 1669448981 | NPPES |
| Vermont | MEDICAID | OVN1669 |
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