Bahnson, David Hastings

Bahnson, David Hastings is an individual health care provider with primary practice located at 3 Albert Cree Dr , Rutland VT 05701-4601. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bahnson, David Hastings can be contacted via phone (802) 775-2937.

Contact Information

Primary practice address
3 Albert Cree Dr Rutland VT 05701-4601
Phone: (802) 775-2937
Fax: (802) 773-0934
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0420007062 Vermont

Profile Details

NPI number 1801881610
LBN Legal business name Bahnson, David Hastings
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801881610 NPPES
Vermont Other 00006019 BCBS
Vermont Other 18182 BCBS
Vermont Other 42585 BCBS
Vermont Other 4971 BCBS
Vermont MEDICAID 0006019 BCBS

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