Linseisen, Jerry M

Linseisen, Jerry M is an individual health care provider with primary practice located at 528 Washington Hwy , Morrisville VT 05661-8973. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Linseisen, Jerry M can be contacted via phone (802) 888-4231.

Contact Information

Primary practice address
528 Washington Hwy Morrisville VT 05661-8973
Phone: (802) 888-4231
Fax: (802) 888-8203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 050012345 Maine
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X EC131111 Maine
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0420013437 Vermont

Profile Details

NPI number 1508897786
LBN Legal business name Linseisen, Jerry M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Aug 18th, 2016 - about 10 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 1508897786 NPPES
Vermont MEDICAID 1001761

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