Indenbaum, David
Indenbaum, David is an individual health care provider with primary practice located at 130 Fisher Rd , Berlin VT 05602-9516. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Indenbaum, David can be contacted via phone (802) 371-4263.Contact Information
Primary practice address
130 Fisher Rd
Berlin VT 05602-9516
Phone: (802) 371-4263
Fax: (802) 371-4481
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 042-0006709 | Vermont |
Profile Details
| NPI number | 1013936830 |
|---|---|
| LBN Legal business name | Indenbaum, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Apr 2nd, 2014 - about 10 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 | 1013936830 | NPPES |
| Vermont | MEDICAID | 0005450 | |
| Vermont | Other | PX6329 |
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