Maclean, Charles D
Maclean, Charles D is an sole proprietor health care provider with primary practice located at 87 Main St , Essex Junction VT 05452-3234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Maclean, Charles D can be contacted via phone (802) 847-8354.Contact Information
Primary practice address
87 Main St
Essex Junction VT 05452-3234
Phone: (802) 847-8354
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 420007816 | Vermont |
Profile Details
| NPI number | 1619995792 |
|---|---|
| LBN Legal business name | Maclean, Charles D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1619995792 | NPPES |
| Vermont | Other | 42-0007816 | STATE OF VT LICENSE |
| Vermont | MEDICAID | 0006102 | STATE OF VT LICENSE |
| Vermont | MEDICAID | 01096491 | STATE OF VT LICENSE |
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