Van Buren, Peter
Van Buren, Peter is an sole proprietor health care provider with primary practice located at 62 Tilley Dr , South Burlington VT 05403-4407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Van Buren, Peter can be contacted via phone (802) 847-4600.Contact Information
Primary practice address
62 Tilley Dr
South Burlington VT 05403-4407
Phone: (802) 847-4600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | Vermont |
Profile Details
| NPI number | 1104912310 |
|---|---|
| LBN Legal business name | Van Buren, Peter |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104912310 | NPPES |
| Vermont | MEDICAID | OVNO408 |
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