Mawhinney, Brian J
Mawhinney, Brian J 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. Mawhinney, Brian J 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0300000333 | Vermont |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0770 | New Hampshire |
Profile Details
| NPI number | 1467448613 |
|---|---|
| LBN Legal business name | Mawhinney, Brian J |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Aug 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467448613 | NPPES |
| Vermont | MEDICAID | 1010971 | |
| Vermont | MEDICAID | 30353214 |
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