Lyon, Edd Gilbert

Lyon, Edd Gilbert is an sole proprietor health care provider with primary practice located at 1068 Vail Rd , Bennington VT 05201-9599. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lyon, Edd Gilbert can be contacted via phone (802) 447-0051.

Contact Information

Primary practice address
1068 Vail Rd Bennington VT 05201-9599
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 42-6255 Vermont

Profile Details

NPI number 1184673113
LBN Legal business name Lyon, Edd Gilbert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2006
Last updated Apr 15th, 2016 - about 8 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 1184673113 NPPES
Vermont MEDICAID 0002387

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