Lindstrom, Paul M

Lindstrom, Paul M is an individual health care provider with primary practice located at 1290 Hospital Dr Suite 5, St Johnsbury VT 05819-9239. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lindstrom, Paul M can be contacted via phone (802) 748-8126.

Contact Information

Primary practice address
1290 Hospital Dr Suite 5 St Johnsbury VT 05819-9239
Phone: (802) 748-8126
Fax: (802) 748-2208
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0300000266 Vermont
Eye and Vision Services Providers / Optometrist 152W00000X 0622 New Hampshire

Profile Details

NPI number 1649266149
LBN Legal business name Lindstrom, Paul M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Jul 3rd, 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 1649266149 NPPES
Vermont MEDICAID 0VN1122
Vermont MEDICAID 30008906
Vermont Other VN1122
Vermont Other RE5917

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