Provider Type Icon

VERMONT PHYSICIANS CLINIC LABORATORY DBA MID VT NEUROLOGY NPI 1699987453


NPI Information

NPI: 1699987453
Provider Name: VERMONT PHYSICIANS CLINIC LABORATORY DBA MID VT NEUROLOGY
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
28 EAST ST
RUTLAND, VT
ZIP 05701
Phone: (802) 773-0566
Get Directions

VERMONT PHYSICIANS CLINIC LABORATORY DBA MID VT NEUROLOGY is a neurology psychiatry neurology in Rutland, VT. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. VERMONT PHYSICIANS CLINIC LABORATORY DBA MID VT NEUROLOGY NPI is 1699987453. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

28 EAST ST
RUTLAND, VT
ZIP 05701-127
Phone: (802) 773-0566

The provider's authorized official is Peter Szostak .
The authorized official title is M.d. and has the following contact phone number (802) 773-0566.

The enumeration date for this NPI number is 5/4/2007 and was last updated on 10/29/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1VN1893MEDICARE PIN

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.