Herschorn, Sally
Herschorn, Sally is an individual health care provider with primary practice located at 111 Colchester Ave , Burlington VT 05401-1473. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Herschorn, Sally can be contacted via phone (802) 847-3592.Contact Information
Primary practice address
111 Colchester Ave
Burlington VT 05401-1473
Phone: (802) 847-3592
Fax: (802) 847-4822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 0420007509 | Vermont |
Profile Details
| NPI number | 1013934835 |
|---|---|
| LBN Legal business name | Herschorn, Sally |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Nov 14th, 2013 - about 13 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 | 1013934835 | NPPES |
| Vermont | MEDICAID | 4756 |
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