Carmody, Martin G
Carmody, Martin G is an sole proprietor health care provider with primary practice located at 69 Allen St Ste 8, Rutland VT 05701-4564. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Carmody, Martin G can be contacted via phone (802) 773-7151.Contact Information
Primary practice address
69 Allen St Ste 8
Rutland VT 05701-4564
Phone: (802) 773-7151
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 056-0000146 | Vermont |
Profile Details
| NPI number | 1417151564 |
|---|---|
| LBN Legal business name | Carmody, Martin G |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2007 |
| Last updated | Mar 2nd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417151564 | NPPES |
| Vermont | MEDICAID | 0VN0351 |
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