Redford, Peter Alan
Redford, Peter Alan is an individual health care provider with primary practice located at 130 Fisher Rd Hospitalist Program, Berlin VT 05602-9516. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Redford, Peter Alan can be contacted via phone (802) 225-1743.Contact Information
Primary practice address
130 Fisher Rd Hospitalist Program
Berlin VT 05602-9516
Phone: (802) 225-1743
Fax: (802) 225-1745
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35626 | Wisconsin |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 042.0011900 | Vermont |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 042.0011900 | Vermont |
Profile Details
| NPI number | 1205891686 |
|---|---|
| LBN Legal business name | Redford, Peter Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Dec 4th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205891686 | NPPES |
| Vermont | Other | P01338278 | RAILROAD MEDICARE |
| Vermont | MEDICAID | 1017159 | RAILROAD MEDICARE |
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