Gentile, Douglas Alan
Gentile, Douglas Alan is an sole proprietor health care provider with primary practice located at 111 Colchester Ave Fahc, Emergency Department, Burlington VT 05401-1473. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Gentile, Douglas Alan can be contacted via phone (802) 847-3982.Contact Information
Primary practice address
111 Colchester Ave Fahc, Emergency Department
Burlington VT 05401-1473
Phone: (802) 847-3982
Fax: (802) 847-5963
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 42-0009006 | Vermont |
Profile Details
| NPI number | 1336163419 |
|---|---|
| LBN Legal business name | Gentile, Douglas Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Jul 31st, 2013 - about 11 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 | 1336163419 | NPPES |
| Vermont | MEDICAID | 0VN1027 | |
| Vermont | MEDICAID | 30200445 | |
| Vermont | MEDICAID | E01526521 |
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