Ivie, Clarence Sherman

Ivie, Clarence Sherman is an individual health care provider with primary practice located at 111 Colchester Ave Wp-2, Burlington VT 05401-1473. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Ivie, Clarence Sherman can be contacted via phone (802) 847-2415.

Contact Information

Primary practice address
111 Colchester Ave Wp-2 Burlington VT 05401-1473
Fax: (802) 847-2965
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 032-0000512 Vermont

Profile Details

NPI number 1275585689
LBN Legal business name Ivie, Clarence Sherman
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated May 23rd, 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 1275585689 NPPES
Vermont MEDICAID 1013468
Vermont Other VN417801

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