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NORTHEAST KINGDOM HEALTHCARE COLLABORATIVE LLC NPI 1215217641


NPI Information

NPI: 1215217641
Provider Name: NORTHEAST KINGDOM HEALTHCARE COLLABORATIVE, LLC
Classification: Internal Medicine - 207RS0012X
Entity Type: Organization

Specialization: Sleep Medicine

Address:
55 SHERMAN DRIVE
ST JOHNSBURY, VT
ZIP 05401
Phone: (802) 334-4111
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NORTHEAST KINGDOM HEALTHCARE COLLABORATIVE, LLC is a sleep medicine internal medicine in St Johnsbury, VT. The provider is an Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. NORTHEAST KINGDOM HEALTHCARE COLLABORATIVE, LLC NPI is 1215217641. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

55 SHERMAN DRIVE
ST JOHNSBURY, VT
ZIP 05401
Phone: (802) 334-4111

The provider's authorized official is Andre Bissonnette .
The authorized official title is Chief Financial Officer and has the following contact phone number 80233433253.

The enumeration date for this NPI number is 8/17/2011 and was last updated on 9/14/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RS0012XInternal MedicineSleep MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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