Calobrisi, Vivian M

Calobrisi, Vivian M is an individual health care provider with primary practice located at 41 Medical Village Dr , Newport VT 05855-9835. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Calobrisi, Vivian M can be contacted via phone (802) 334-3504.

Contact Information

Primary practice address
41 Medical Village Dr Newport VT 05855-9835
Phone: (802) 334-3504
Fax: (802) 334-3512
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0550030279 Vermont

Profile Details

NPI number 1801973334
LBN Legal business name Calobrisi, Vivian M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jun 16th, 2009 - about 16 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 1801973334 NPPES
Vermont MEDICAID 0002510
Vermont Other 118505
Vermont Other 00028004
Vermont Other 8000219
Vermont Other P00055182

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