1578129789 NPI number — BENJAMIN SUTTER EHRET

Table of content: BENJAMIN SUTTER EHRET (NPI 1578129789)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578129789 NPI number — BENJAMIN SUTTER EHRET

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
EHRET
Provider First Name:
BENJAMIN
Provider Middle Name:
SUTTER
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578129789
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/11/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
74 S WILLARD ST APT 5
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BURLINGTON
Provider Business Mailing Address State Name:
VT
Provider Business Mailing Address Postal Code:
05401-3425
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
802-917-3194
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
21600 OXNARD ST # WOODLAND
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WOODLAND HILLS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91367-4976
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-345-2345
Provider Business Practice Location Address Fax Number:
818-758-8015
Provider Enumeration Date:
05/13/2019

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106S00000X , with the licence number:  2274679A , registered in the state of VT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: FA0V888358829000 . This is a "BLUECROSS BLUESHIELD OF VERMONT" identifier , issued by the state of ( VT ) . This identifiers is of the category "OTHER".




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