Waller, Hugh Durwood
Waller, Hugh Durwood is an individual health care provider with primary practice located at 173 S Main St , Rutland VT 05701-4713. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Waller, Hugh Durwood can be contacted via phone (802) 772-4165.Contact Information
Primary practice address
173 S Main St
Rutland VT 05701-4713
Phone: (802) 772-4165
Fax: (802) 855-8489
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1518130194 |
|---|---|
| LBN Legal business name | Waller, Hugh Durwood |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2008 |
| Last updated | Jun 15th, 2021 - about 3 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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