Laverty, Edward Joseph

Laverty, Edward Joseph is an individual health care provider with primary practice located at 137 Main St Ste 102 , Newport VT 05855-4415. 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. Laverty, Edward Joseph can be contacted via phone (802) 995-2412.

Contact Information

Primary practice address
137 Main St Ste 102 Newport VT 05855-4415
Phone: (802) 995-2412
Fax: (802) 334-7991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 055.0031605 Vermont

Profile Details

NPI number 1366432478
LBN Legal business name Laverty, Edward Joseph
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Sep 26th, 2024 - about 2 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 1366432478 NPPES
Vermont MEDICAID 0AP0387
Vermont Other 00038485
Vermont Other 341726
Vermont Other 542157
Vermont MEDICAID 30010636

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