Pezzulich, Robert Anthony
Pezzulich, Robert Anthony is an individual health care provider with primary practice located at 345 Elm St , Bennington VT 05201-2265. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Pezzulich, Robert Anthony can be contacted via phone (802) 447-7591.Contact Information
Primary practice address
345 Elm St
Bennington VT 05201-2265
Phone: (802) 447-7591
Fax: (802) 447-3858
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 042-0004872 | Vermont |
Profile Details
| NPI number | 1114923422 |
|---|---|
| LBN Legal business name | Pezzulich, Robert Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114923422 | NPPES |
| Vermont | MEDICAID | 0004497 |
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