| Bennington Family Practice Pllc | |
|
339 Dewey St Bennington VT 05201-2253 | |
| (802) 447-1191 | |
| (802) 442-6614 |
| Full Name | Bennington Family Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 339 Dewey St, Bennington, Vermont |
| Authorized Official Name and Position | Elizabeth J Ellingsen (PRACTICE MANAGER) |
| Authorized Official Contact | 8024471191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bennington Family Practice Pllc 339 Dewey St Bennington VT 05201-2253 Ph: (802) 447-1191 | Bennington Family Practice Pllc 339 Dewey St Bennington VT 05201-2253 Ph: (802) 447-1191 |
| NPI Number | 1700835741 |
|---|---|
| Provider Enumeration Date | 05/08/2006 |
| Last Update Date | 09/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700835741 | NPI | - | NPPES |
| 8000038 | Medicaid | VT | |
| 701100449 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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