Doherty Fuller, Eileen
Doherty Fuller, Eileen is an individual health care provider with primary practice located at 1330 Exchange St Ste 201 , Middlebury VT 05753-4464. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Doherty Fuller, Eileen can be contacted via phone (802) 388-1500.Contact Information
Primary practice address
1330 Exchange St Ste 201
Middlebury VT 05753-4464
Phone: (802) 388-1500
Fax: (802) 388-0441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 042-007267 | Vermont |
Profile Details
| NPI number | 1679551071 |
|---|---|
| LBN Legal business name | Doherty Fuller, Eileen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2006 |
| Last updated | Oct 14th, 2020 - about 5 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 | 1679551071 | NPPES |
| Vermont | MEDICAID | 0005628 |
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