Grunert, Richard T

Grunert, Richard T is an individual health care provider with primary practice located at 111 Colchester Ave , Burlington VT 05401-1473. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Grunert, Richard T can be contacted via phone (802) 847-4097.

Contact Information

Primary practice address
111 Colchester Ave Burlington VT 05401-1473
Phone: (802) 847-4097
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 0420008331 Vermont
Allopathic & Osteopathic Physicians / Urology 208800000X 036133761 Illinois

Profile Details

NPI number 1245211143
LBN Legal business name Grunert, Richard T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Nov 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245211143 NPPES
Vermont MEDICAID 0VN0121

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