Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | VT | |
N | 207XS0106X | Orthopaedic Hand Surgeon | VT |
NPI | 1275558801 |
---|---|
Provider Name | Dr. Michel Yves Benoit |
First Address | Shelburne, VT 05482-6993 |
Second Address | Burlington, VT 05401-3456 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01368616 | NY MEDICAID (01) | NY |
0VN0527 | (05) | VT |
F44501 | (02) | VT |