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
Phone: (802) 847-2415
Fax: (802) 847-2965
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275585689 | NPPES |
Vermont | MEDICAID | 1013468 | |
Vermont | Other | VN417801 |
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