Sussman, Betsy L.

Sussman, Betsy L. is an sole proprietor health care provider with primary practice located at 111 Colchester Ave Department Of Radiology, Burlington VT 05401-1473. She recently has only one registered license in Allopathic & Osteopathic Physicians / Body Imaging, which is considered as her primary health care specialty. Sussman, Betsy L. can be contacted via phone (802) 847-3592.

Contact Information

Primary practice address
111 Colchester Ave Department Of Radiology Burlington VT 05401-1473
Fax: (802) 847-4822
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 042-0007440 Vermont

Profile Details

NPI number 1417974213
LBN Legal business name Sussman, Betsy L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417974213 NPPES
Vermont MEDICAID 9558

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