D'Amico, Michael A

D'Amico, Michael A is an individual health care provider with primary practice located at 111 Colchester Ave , Burlington VT 05401-1473. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. D'Amico, Michael A can be contacted via phone (802) 847-8200.

Contact Information

Primary practice address
111 Colchester Ave Burlington VT 05401-1473
Phone: (802) 847-8200
Fax: (802) 847-8742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 420010871 Vermont

Profile Details

NPI number 1790719326
LBN Legal business name D'Amico, Michael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Oct 4th, 2013 - about 12 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 1790719326 NPPES
Vermont MEDICAID 1011059
Vermont MEDICAID 01958185

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