Stall, Jeffrey R.

Stall, Jeffrey R. is an individual health care provider with primary practice located at 275 Route 30 N , Bomoseen VT 05732-9647. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Stall, Jeffrey R. can be contacted via phone (802) 468-5641.

Contact Information

Primary practice address
275 Route 30 N Bomoseen VT 05732-9647
Phone: (802) 468-5641
Fax: (802) 468-2923
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 042-0011846 Vermont
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 042-0011846 Vermont

Profile Details

NPI number 1427042662
LBN Legal business name Stall, Jeffrey R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Aug 24th, 2016 - about 10 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 1427042662 NPPES
Vermont MEDICAID 1016730
Vermont Other P01021086

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