Todd, Jennifer

Todd, Jennifer is an individual health care provider with primary practice located at 111 Colchester Ave , Burlington VT 05401-1473. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is her primary health care specialty. Todd, Jennifer can be contacted via phone (802) 847-8200.

Contact Information

Primary practice address
111 Colchester Ave Burlington VT 05401-1473
Phone: (802) 847-8200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 221799 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 042.0014188 Vermont
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 042.0014188 Vermont
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 221799 Massachusetts

Profile Details

NPI number 1124088463
LBN Legal business name Todd, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Aug 14th, 2019 - about 5 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 1124088463 NPPES
Massachusetts Other J28024 BCBS
Massachusetts Other 010221799MA01 BCBS
Massachusetts Other 221799 BCBS
Massachusetts Other 34849 BCBS
Massachusetts Other 7857 BCBS
Massachusetts MEDICAID 2080729 BCBS
Massachusetts Other AA15755 BCBS

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