Koller, Stephen M

Koller, Stephen M is an individual health care provider with primary practice located at 115 Porter Dr Radiology Department, Middlebury VT 05753-8423. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Koller, Stephen M can be contacted via phone (802) 388-8851.

Contact Information

Primary practice address
115 Porter Dr Radiology Department Middlebury VT 05753-8423
Phone: (802) 388-8851
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 042-0009220 Vermont

Profile Details

NPI number 1538197421
LBN Legal business name Koller, Stephen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jul 8th, 2007 - about 19 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 1538197421 NPPES
Vermont MEDICAID 0VN1562

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