Waterman, Gerald Scott

Waterman, Gerald Scott is an individual health care provider with primary practice located at 1 S Prospect St Arnold 6, Burlington VT 05401-3456. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Waterman, Gerald Scott can be contacted via phone (802) 847-4560.

Contact Information

Primary practice address
1 S Prospect St Arnold 6 Burlington VT 05401-3456
Phone: (802) 847-4560
Fax: (802) 847-8747
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 042-0008732 Vermont
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 042-0008732 Vermont

Profile Details

NPI number 1154423507
LBN Legal business name Waterman, Gerald Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 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 1154423507 NPPES
New York MEDICAID 01469070
New York MEDICAID 1004305

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