Alston, Wallace Kemper
Alston, Wallace Kemper is an individual health care provider with primary practice located at 111 Colchester Ave Fletcher Allen Health Care, Smith 287, Burlington VT 05401-1473. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Alston, Wallace Kemper can be contacted via phone (802) 847-4835.Contact Information
Primary practice address
111 Colchester Ave Fletcher Allen Health Care, Smith 287
Burlington VT 05401-1473
Phone: (802) 847-4835
Fax: (802) 847-5322
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 428736 | Vermont |
Profile Details
| NPI number | 1356374755 |
|---|---|
| LBN Legal business name | Alston, Wallace Kemper |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1356374755 | NPPES |
| Vermont | MEDICAID | 0645 |
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