Kornbluth, Stephen S
Kornbluth, Stephen S is an individual health care provider with primary practice located at 275 Route 30 N , Bomoseen VT 05732-9647. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kornbluth, Stephen S can be contacted via phone (802) 468-5641.Contact Information
Primary practice address
275 Route 30 N
Bomoseen VT 05732-9647
Phone: (802) 468-5641
Fax: (802) 468-2923
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 153606 | New York |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0420011399 | Vermont |
Profile Details
| NPI number | 1811948847 |
|---|---|
| LBN Legal business name | Kornbluth, Stephen S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Sep 2nd, 2016 - about 9 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 | 1811948847 | NPPES |
| Vermont | Other | P00479978 | RR MEDICARE |
| Vermont | MEDICAID | 1013905 | RR MEDICARE |
| Vermont | MEDICAID | 00773271 | RR MEDICARE |
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