Wriston, Cooper Campbell
Wriston, Cooper Campbell is an individual health care provider with primary practice located at 111 Colchester Ave , Burlington VT 05401-1473. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Wriston, Cooper Campbell can be contacted via phone (802) 847-0000.Contact Information
Primary practice address
111 Colchester Ave
Burlington VT 05401-1473
Phone: (802) 847-0000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 042-0017489 | Vermont |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 53518 | Minnesota |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 158106 | North Carolina |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 105037 | Minnesota |
Profile Details
| NPI number | 1134356728 |
|---|---|
| LBN Legal business name | Wriston, Cooper Campbell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2009 |
| Last updated | Jan 17th, 2024 - about 10 months 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 | 1134356728 | NPPES |
| Minnesota | MEDICAID | ENROLLED |
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