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NORTHEAST KINGDOM HEMATOLOGY ONCOLOGY PLLC NPI 1689094039


NPI Information

NPI: 1689094039
Provider Name: NORTHEAST KINGDOM HEMATOLOGY ONCOLOGY PLLC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
637 UNION ST
NEWPORT, VT
ZIP 05855
Phone: (802) 334-7177
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NORTHEAST KINGDOM HEMATOLOGY ONCOLOGY PLLC is a hematology and oncology internal medicine in Newport, VT. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. NORTHEAST KINGDOM HEMATOLOGY ONCOLOGY PLLC NPI is 1689094039. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

637 UNION ST
NEWPORT, VT
ZIP 05855-498
Phone: (802) 334-7177
Fax: (802) 487-9299

The provider's authorized official is Leslie C Lockridge .
The authorized official title is Sole Proprietor/sole Owner and has the following contact phone number (802) 334-7177.

The enumeration date for this NPI number is 4/24/2014 and was last updated on 10/28/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & Oncology0420011226VERMONTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1VN410503MEDICARE PINVERMONT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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