Gerretson, Evelyn Susan

Gerretson, Evelyn Susan is an individual health care provider with primary practice located at 215 Stratton Rd , Rutland VT 05701-4621. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Gerretson, Evelyn Susan can be contacted via phone (802) 773-3386.

Contact Information

Primary practice address
215 Stratton Rd Rutland VT 05701-4621
Fax: (802) 773-4578
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0420008501 Vermont

Profile Details

NPI number 1376624080
LBN Legal business name Gerretson, Evelyn Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Jul 29th, 2016 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376624080 NPPES
Vermont MEDICAID OVN0381
Vermont Other 00018585

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