Vaillant, Henry Winchester

Vaillant, Henry Winchester is an individual health care provider with primary practice located at 133 Ornac , Concord MA 01742-4159. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Vaillant, Henry Winchester can be contacted via phone (978) 369-1400.

Contact Information

Primary practice address
133 Ornac Concord MA 01742-4159
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 28102 Massachusetts

Profile Details

NPI number 1134185549
LBN Legal business name Vaillant, Henry Winchester
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jul 8th, 2007 - 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 1134185549 NPPES
Massachusetts MEDICAID 0189618

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