Sargent, Eric Richmond
Sargent, Eric Richmond is an individual health care provider with primary practice located at 111 Colchester Avenue, East Pavilion 5 , Burlington VT 05401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Sargent, Eric Richmond can be contacted via phone (802) 847-2884.Contact Information
Primary practice address
111 Colchester Avenue, East Pavilion 5
Burlington VT 05401
Phone: (802) 847-2884
Fax: (802) 847-6020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 26588 | Iowa |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 0420010146 | Vermont |
Profile Details
| NPI number | 1023011517 |
|---|---|
| LBN Legal business name | Sargent, Eric Richmond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Nov 19th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023011517 | NPPES |
| Iowa | Other | 71754 | WELLMARK/BLUE CROSS/BLUE |
| Iowa | Other | G87836 | WELLMARK/BLUE CROSS/BLUE |
| Iowa | MEDICAID | 0VN2503 | WELLMARK/BLUE CROSS/BLUE |
| Iowa | MEDICAID | 01786350 | WELLMARK/BLUE CROSS/BLUE |
| Iowa | Other | 37456 | WELLMARK/BLUE CROSS/BLUE |
| Iowa | MEDICAID | 1023011517 | WELLMARK/BLUE CROSS/BLUE |
| Iowa | MEDICAID | 209143403 | WELLMARK/BLUE CROSS/BLUE |
| Iowa | Other | 42143522520 | WELLMARK/BLUE CROSS/BLUE |
| Iowa | Other | 421435525 | WELLMARK/BLUE CROSS/BLUE |
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