Southall, Henry

Southall, Henry is an sole proprietor health care provider with primary practice located at 439 Washington Hwy , Morrisville VT 05661-8969. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Southall, Henry can be contacted via phone (802) 888-5000.

Contact Information

Primary practice address
439 Washington Hwy Morrisville VT 05661-8969
Phone: (802) 888-5000
Fax: (802) 888-5060
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 042-0005150 Vermont
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 042-0005150 Vermont

Profile Details

NPI number 1770674137
LBN Legal business name Southall, Henry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2006
Last updated Dec 17th, 2009 - about 17 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 1770674137 NPPES
Vermont MEDICAID 0004503
Vermont Other 11V054
Vermont Other 31V500
Vermont Other 4503

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