Marcy, Theodore Wendell
Marcy, Theodore Wendell is an individual health care provider with primary practice located at 111 Colchester Ave Acc East Pavilion 5, Burlington VT 05401-1473. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Marcy, Theodore Wendell can be contacted via phone (802) 847-1158.Contact Information
Primary practice address
111 Colchester Ave Acc East Pavilion 5
Burlington VT 05401-1473
Phone: (802) 847-1158
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | VT 042 0008686 | Vermont |
Profile Details
| NPI number | 1508874314 |
|---|---|
| LBN Legal business name | Marcy, Theodore Wendell |
| Credentials | MD, MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508874314 | NPPES |
| New York | MEDICAID | 01385033 | |
| New York | MEDICAID | 0VN0575 |
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