Green Mountain Plastic And Reconstructive Surgery
LBN: Green Mountain Plastic And Reconstructive Surgery
Green Mountain Plastic And Reconstructive Surgery is an health care organization with primary practice located at 354 Mountain View Dr Ste 300 , Colchester VT 05446-5988. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Plastic Surgery is the primary health care specialty.
Green Mountain Plastic And Reconstructive Surgery can be contacted via phone (802) 864-0192, or through Laub, Donald R via phone (802) 598-9619.
Contact Information
Primary practice address
354 Mountain View Dr Ste 300
Colchester VT 05446-5988
Phone: (802) 864-0192
Fax: (802) 860-4919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 42-0008887 | Vermont |
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2082S0105X | 42-0008887 | Vermont |
Profile Details
| NPI number | 1598278137 |
|---|---|
| LBN Legal business name | Green Mountain Plastic And Reconstructive Surgery |
| DBA Doing business as | |
| Authorized official | Laub, Donald R Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 6th, 2017 |
| Last updated | Nov 6th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598278137 | NPPES |
| Vermont | MEDICAID | OVN1072 |
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