Bennum, Richard R

Bennum, Richard R is an individual health care provider with primary practice located at 1315 Hospital Dr , St Johnsbury VT 05819-9210. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Bennum, Richard R can be contacted via phone (802) 748-7567.

Contact Information

Primary practice address
1315 Hospital Dr St Johnsbury VT 05819-9210
Phone: (802) 748-7567
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X 042-0007139 Vermont
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 042-0007139 Vermont

Profile Details

NPI number 1518066604
LBN Legal business name Bennum, Richard R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jul 21st, 2022 - about 4 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 1518066604 NPPES
Vermont MEDICAID 1002225

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