Cody, Thornton Squire

Cody, Thornton Squire is an individual health care provider with primary practice located at 368 River Street , Springfield VT 05156-2242. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Cody, Thornton Squire can be contacted via phone (802) 886-2526.

Contact Information

Primary practice address
368 River Street Springfield VT 05156-2242
Fax: (802) 886-2225
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 042-0007413 Vermont

Profile Details

NPI number 1740217629
LBN Legal business name Cody, Thornton Squire
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Nov 20th, 2008 - about 18 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 1740217629 NPPES
Vermont MEDICAID 0002655
Vermont MEDICAID 30001422

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