Clattenburg, Richard N

Clattenburg, Richard N is an sole proprietor health care provider with primary practice located at 1067 Cady Hill Rd , Perkinsville VT 05151-9523. He recently has 3 registered licenses in different health care specialties including Emergency Medical Service Providers / Emergency Medical Technician, Basic, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is his primary health care specialty. Clattenburg, Richard N can be contacted via phone (802) 263-5505.

Contact Information

Primary practice address
1067 Cady Hill Rd Perkinsville VT 05151-9523
Phone: (802) 263-5505
Fax: (802) 263-5594
Website:
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Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X 0420006288 Vermont
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 042-0006288 Vermont
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 042-0006288 Vermont

Profile Details

NPI number 1457346124
LBN Legal business name Clattenburg, Richard N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2005
Last updated Jun 2nd, 2011 - about 15 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 1457346124 NPPES
Vermont MEDICAID 0005110

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