Graether, Clarence Paul

Graether, Clarence Paul is an individual health care provider with primary practice located at 655 Main St , Bennington VT 05201. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Graether, Clarence Paul can be contacted via phone (802) 258-3905.

Contact Information

Primary practice address
655 Main St Bennington VT 05201
Phone: (802) 258-3905
Fax: (802) 258-4903
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0550030210 Vermont

Profile Details

NPI number 1417906082
LBN Legal business name Graether, Clarence Paul
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Mar 22nd, 2021 - about 4 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 1417906082 NPPES
Vermont MEDICAID OAP2257

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