Sisson, Larry Allen

Sisson, Larry Allen is an individual health care provider with primary practice located at 41 Medical Village Dr , Newport VT 05855-9835. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Sisson, Larry Allen can be contacted via phone (802) 334-3500.

Contact Information

Primary practice address
41 Medical Village Dr Newport VT 05855-9835
Phone: (802) 334-3500
Fax: (802) 334-3502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0420007770 Vermont
Allopathic & Osteopathic Physicians / Surgery 208600000X 8024 New Hampshire
Allopathic & Osteopathic Physicians / Surgery 208600000X 25436020 Wisconsin

Profile Details

NPI number 1861485617
LBN Legal business name Sisson, Larry Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Jun 17th, 2011 - about 15 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 1861485617 NPPES
Vermont MEDICAID 0009260
Vermont Other 350793
Vermont Other 030329674
Vermont Other 2754
Vermont Other 80941

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