Macwalters, Ty
Macwalters, Ty is an sole proprietor health care provider with primary practice located at 130 Fisher Road Central Vermont Medical Center, Berlin VT 05602-0560. He recently has only one registered license in Suppliers / Institutional Pharmacy, which is considered as his primary health care specialty. Macwalters, Ty can be contacted via phone (802) 371-4857.Contact Information
Primary practice address
130 Fisher Road Central Vermont Medical Center
Berlin VT 05602-0560
Phone: (802) 371-4857
Fax: (802) 371-4408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Institutional Pharmacy | 3336I0012X | 037.0001187 | Vermont |
Profile Details
| NPI number | 1679095475 |
|---|---|
| LBN Legal business name | Macwalters, Ty |
| Credentials | CPHT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2017 |
| Last updated | Mar 17th, 2018 - about 6 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 | 1679095475 | NPPES |
| Vermont | Other | 121.0000650 | STATE LICENSE |
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