Hayden, Jonathan Brewster

Hayden, Jonathan Brewster is an individual health care provider with primary practice located at 1 Timber Ln , South Burlington VT 05403-7205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hayden, Jonathan Brewster can be contacted via phone (802) 847-4714.

Contact Information

Primary practice address
1 Timber Ln South Burlington VT 05403-7205
Phone: (802) 847-4714
Fax: (802) 847-6333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Vermont

Profile Details

NPI number 1790792422
LBN Legal business name Hayden, Jonathan Brewster
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790792422 NPPES
New York MEDICAID 01468368
New York MEDICAID 0005880

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