At Home Physicians, PLLC
Organization Active NPI Family Medicine Physician · Burlington, VT
NPI 1235459074 · NPPES record last updated Jul 16, 2010
Key facts
- NPI
- 1235459074
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0420011461 (VT)
- Legal business name
- AT HOME PHYSICIANS, PLLC
- Practice address
- 38 Cliff St
Burlington, VT 05401-4505 - Phone
- (802) 999-2867
- Fax
- (802) 862-3251
- NPI assigned
- Jun 3, 2010
- Organization subpart
- No
Authorized official
- Name
- Karen Sokol, MD
- Title
- Physician
- Phone
- (802) 999-2867
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 0420011461 | VT | Yes |
Addresses
Primary practice location
38 Cliff St
Burlington, VT 05401-4505
Mailing address
PO Box 4052
Burlington, VT 05406-4052
Phone (802) 999-2867
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1014228 | Medicaid | VT |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.