Libman, Bonita Sandra
Libman, Bonita Sandra is an individual health care provider with primary practice located at 111 Colchester Ave East Pavilion Level 5 Rheumatology, Burlington VT 05401-1473. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Libman, Bonita Sandra can be contacted via phone (802) 847-4574.Contact Information
Primary practice address
111 Colchester Ave East Pavilion Level 5 Rheumatology
Burlington VT 05401-1473
Phone: (802) 847-4574
Fax: (802) 847-9695
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 0420008785 | Vermont |
Profile Details
| NPI number | 1194830083 |
|---|---|
| LBN Legal business name | Libman, Bonita Sandra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Oct 4th, 2013 - about 12 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 | 1194830083 | NPPES |
| Vermont | MEDICAID | OVN0689 |
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