Mcdermott, Shawn James

Mcdermott, Shawn James is an individual health care provider with primary practice located at 86 Dylan Dr Suite 1, Randolph VT 05060-9619. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mcdermott, Shawn James can be contacted via phone (802) 728-5159.

Contact Information

Primary practice address
86 Dylan Dr Suite 1 Randolph VT 05060-9619
Phone: (802) 728-5159
Fax: (802) 728-5199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 0060001016 Vermont

Profile Details

NPI number 1346357852
LBN Legal business name Mcdermott, Shawn James
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Sep 15th, 2008 - 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 1346357852 NPPES
Vermont MEDICAID OVN1716
Vermont Other 38057

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