Jimmo, Brad Lee
Jimmo, Brad Lee is an sole proprietor health care provider with primary practice located at 215 Stratton Rd , Rutland VT 05701-4621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Jimmo, Brad Lee can be contacted via phone (802) 775-7745.Contact Information
Primary practice address
215 Stratton Rd
Rutland VT 05701-4621
Phone: (802) 775-7745
Fax: (802) 775-5155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 042-0010388 | Vermont |
Profile Details
| NPI number | 1437184637 |
|---|---|
| LBN Legal business name | Jimmo, Brad Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Mar 15th, 2012 - about 14 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 | 1437184637 | NPPES |
| Vermont | MEDICAID | 1008803 |
Popular Providers
-
Seip, Christopher C
820 N Alpha St , Grand Island NE 68803-4320 -
Eells, David A
320 Jones Ave , Oak Hill WV 25901-2909 -
Marsh, Eric James
3 Albert Cree Dr Vermont Orthpaedic Clinic, Rutland VT 05701-4601 -
Cross, Tracy Glenn
250 Burkesville Rd , Albany KY 42602-1604 -
White, Patrick W.
5700 Monroe St Unit 101 , Sylvania OH 43560-2779 -
Johnson, William Kent
11221 Katy Fwy Ste 115 , Houston TX 77079-2105 -
Hines, Paul Michael
6851 Texas Highway 154 S , Sulphur Springs TX 75482-8305 -
Maben, Robert E
575 S 70Th St Ste 310, Lincoln NE 68510-2471