Bannach, Alexandra

Bannach, Alexandra is an individual health care provider with primary practice located at 121 Medical Village Dr , Newport VT 05855-9834. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bannach, Alexandra can be contacted via phone (802) 334-5929.

Contact Information

Primary practice address
121 Medical Village Dr Newport VT 05855-9834
Phone: (802) 334-5929
Fax: (802) 487-1051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 042-0010849 Vermont

Profile Details

NPI number 1518953942
LBN Legal business name Bannach, Alexandra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Jul 8th, 2007 - about 18 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 1518953942 NPPES
Vermont MEDICAID 1011209
Vermont Other 00068445

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