Sirois, Micheal R
Sirois, Micheal R is an individual health care provider with primary practice located at 1775 Williston Rd , South Burlington VT 05403-6491. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Sirois, Micheal R can be contacted via phone (802) 847-8500.Contact Information
Primary practice address
1775 Williston Rd
South Burlington VT 05403-6491
Phone: (802) 847-8500
Fax: (802) 860-4324
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0420007821 | Vermont |
Profile Details
| NPI number | 1134160419 |
|---|---|
| LBN Legal business name | Sirois, Micheal R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Jan 15th, 2010 - about 14 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 | 1134160419 | NPPES |
| Vermont | Other | 01425 | BLUE CROSS BLUE SHIELD |
| Vermont | Other | 01425 | BLUE CROSS BLUE SHIELD |
| Vermont | Other | VT9535 | BLUE CROSS BLUE SHIELD |
| Vermont | MEDICAID | 0009539 | BLUE CROSS BLUE SHIELD |
| Vermont | Other | 08510 | BLUE CROSS BLUE SHIELD |
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