Beerworth, Mary M

Beerworth, Mary M is an individual health care provider with primary practice located at 147 Allen Street , Rutland VT 05701-4570. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Beerworth, Mary M can be contacted via phone (802) 775-1901.

Contact Information

Primary practice address
147 Allen Street Rutland VT 05701-4570
Phone: (802) 775-1901
Fax: (802) 773-2867
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 42-0007267 Vermont

Profile Details

NPI number 1306843537
LBN Legal business name Beerworth, Mary M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Feb 6th, 2012 - about 14 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 1306843537 NPPES
Vermont Other 216-5217 BC/BS GROUP PROVIDER #
Vermont Other 16223 BC/BS GROUP PROVIDER #
Vermont Other 10002440 BC/BS GROUP PROVIDER #
Vermont MEDICAID VT9065 BC/BS GROUP PROVIDER #
Vermont Other 216-5411 BC/BS GROUP PROVIDER #

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