Keller, Sheryl Peterson

Keller, Sheryl Peterson is an individual health care provider with primary practice located at 111 Colchester Ave Main Pavilion-Level 2 Breast Care Center, Burlington VT 05401-1473. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as her primary health care specialty. Keller, Sheryl Peterson can be contacted via phone (802) 847-2262.

Contact Information

Primary practice address
111 Colchester Ave Main Pavilion-Level 2 Breast Care Center Burlington VT 05401-1473
Phone: (802) 847-2262
Fax: (802) 847-2941
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 042-0008616 Vermont

Profile Details

NPI number 1346254034
LBN Legal business name Keller, Sheryl Peterson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 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 1346254034 NPPES
New York MEDICAID 01350229
New York MEDICAID 0VN0538

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