Carlson, Jennifer Bergeron
Carlson, Jennifer Bergeron is an individual health care provider with primary practice located at 52 Timber Ln , South Burlington VT 05403-7204. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Carlson, Jennifer Bergeron can be contacted via phone (802) 658-2320.Contact Information
Primary practice address
52 Timber Ln
South Burlington VT 05403-7204
Phone: (802) 658-2320
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 5758864-1205 | Utah |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 5758864-1205 | Utah |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 042-0011786 | Vermont |
Profile Details
| NPI number | 1710939814 |
|---|---|
| LBN Legal business name | Carlson, Jennifer Bergeron |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Jun 17th, 2009 - about 17 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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