Individual
EARL BUMP JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
504 MAIN ST, SUITE 2, BENNINGTON, VT 05201-2111
(802) 442-9052
Mailing address
504 MAIN ST, SUITE 2, BENNINGTON, VT 05201-2111
(802) 442-9052
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
21209775
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026752
—
VT
Enumeration date
11/22/2016
Last updated
11/22/2016
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