Wyllie, James Vincent
Wyllie, James Vincent is an sole proprietor health care provider with primary practice located at 212 Prouty Dr Suite 1, Newport VT 05855-9851. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wyllie, James Vincent can be contacted via phone (802) 334-6965.Contact Information
Primary practice address
212 Prouty Dr Suite 1
Newport VT 05855-9851
Phone: (802) 334-6965
Fax: (802) 334-6606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 652 | Vermont |
Profile Details
| NPI number | 1063595668 |
|---|---|
| LBN Legal business name | Wyllie, James Vincent |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063595668 | NPPES |
| Vermont | MEDICAID | 000-1845 |
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