Fetter, Michael Dietrich

Fetter, Michael Dietrich is an sole proprietor health care provider with primary practice located at 11 N Main St , Randolph VT 05060-1126. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Fetter, Michael Dietrich can be contacted via phone (802) 728-4466.

Contact Information

Primary practice address
11 N Main St Randolph VT 05060-1126
Phone: (802) 728-4466
Fax: (802) 728-4197
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1972369387
LBN Legal business name Fetter, Michael Dietrich
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2024
Last updated Feb 23rd, 2024 - about 2 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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