Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 042-0009826 | VT |
Y | 207RA0401X | Internist - Addiction Medicine | 042-0009826 | VT |
NPI | 1932129509 |
---|---|
Provider Name | Deborah Richter |
First Address | Burlington, VT 05401-5429 |
Second Address | Burlington, VT 05401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 06/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E37021 | (02) | VT |
OVN2082 | (05) | VT |