Individual
DR. RIMA BETH CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
156 MAIN ST, MONTPELIER, VT 05602-2702
(802) 223-4738
(802) 223-6067
Mailing address
PO BOX 547, CENTRAL VERMONT MEDICAL CENTER - FINANCE DEPT, BARRE, VT 05641-0547
(802) 223-4738
(802) 223-6067
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420012034
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C16002
MEDICARE GROUP
MI
05
—
1017996
—
VT
05
—
104917201
—
MI
01
—
RC081912
BLUE CROSS STATE ID
MI
Enumeration date
08/08/2006
Last updated
12/04/2014
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