Fries, Timothy James

Fries, Timothy James is an individual health care provider with primary practice located at 111 Colchester Ave Patrick 5, Burlington VT 05401-1473. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Fries, Timothy James can be contacted via phone (802) 847-2788.

Contact Information

Primary practice address
111 Colchester Ave Patrick 5 Burlington VT 05401-1473
Phone: (802) 847-2788
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 0420007459 Vermont

Profile Details

NPI number 1699797696
LBN Legal business name Fries, Timothy James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 8th, 2007 - 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 1699797696 NPPES
Vermont MEDICAID 0006495

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