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Individual

JEREMIAH M ECKHAUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

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
0420011451
VT
207Q00000X
Family Medicine Physician
40873
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1014379
VT
05
47939877
CO
Enumeration date
04/07/2006
Last updated
05/15/2023
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