Shapiro, Jeryl

Shapiro, Jeryl is an individual health care provider with primary practice located at 111 Colchester Ave Fahc - Wp2, Burlington VT 05401-1473. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Shapiro, Jeryl can be contacted via phone (802) 847-2415.

Contact Information

Primary practice address
111 Colchester Ave Fahc - Wp2 Burlington VT 05401-1473
Fax: (802) 847-5324
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 042-0005985 Vermont

Profile Details

NPI number 1477596401
LBN Legal business name Shapiro, Jeryl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 8th, 2007 - about 18 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 1477596401 NPPES
New York MEDICAID 419181
New York MEDICAID 0004790

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