Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 042.0012431 | VT |
NPI | 1013102466 |
---|---|
Provider Name | Aaron Martin Brillhart |
First Address | Underhill, VT 05489-0001 |
Second Address | Saint Albans, VT 05478-1726 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2007 |
Last Update Date | 10/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002875202 | MEDICARE PTAN LINKED TO CVMC (01) | VT |
1020811 | (05) | VT |