Gilbert, Andre Breidenthal
Gilbert, Andre Breidenthal is an individual health care provider with primary practice located at 130 Fisher Rd Central Vermont Medical Center, Berlin VT 05602-9516. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gilbert, Andre Breidenthal can be contacted via phone (802) 371-4257.Contact Information
Primary practice address
130 Fisher Rd Central Vermont Medical Center
Berlin VT 05602-9516
Phone: (802) 371-4257
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 042-0010404 | Vermont |
Profile Details
| NPI number | 1184646366 |
|---|---|
| LBN Legal business name | Gilbert, Andre Breidenthal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184646366 | NPPES |
| Vermont | MEDICAID | 1008937 | |
| Vermont | Other | 0005887 |
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