Strader, Doris Bea

Strader, Doris Bea is an individual health care provider with primary practice located at 111 Colchester Ave Smith 247A, Burlington VT 05401-1473. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Strader, Doris Bea can be contacted via phone (802) 847-2554.

Contact Information

Primary practice address
111 Colchester Ave Smith 247A Burlington VT 05401-1473
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 042-0010537 Vermont

Profile Details

NPI number 1740290089
LBN Legal business name Strader, Doris Bea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 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 1740290089 NPPES
Vermont MEDICAID 1009436

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