- Practice location
- 174 Hospital Loop, Berlin, VT 05602-9105
- Phone
- 802-479-4083
- Fax
- 802-476-1476
- Last updated
- September 11, 2026
Ezra Demers is a Student in an Organized Health Care Education/Training Program based in Berlin, VT. Ezra Demers practices in Berlin, VT. The NPI Number for Ezra Demers is 1033075601 and holds a License No. 097.0136421 (VT). The current practice location address for Ezra Demers is 174 Hospital Loop, Berlin, VT 05602-9105 and can be reached out via phone at 802-479-4083 and via fax at 802-476-1476.
Provider Profile Details
- NPI Number
- 1033075601
- Provider Name
- Ezra Demers
- Provider Entity Type
- Individual
- Address
- 174 Hospital Loop, Berlin, VT 05602-9105
- Phone Number
- 802-479-4083
- Fax Number
- 802-476-1476
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 29, 2025
- Last Update Date
- September 11, 2026
- Certification Date
- September 11, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 174 Hospital Loop
Berlin, VT 05602-9105 - City
- Berlin
- State
- Vermont
- Zip
- 05602-9105
- Phone Number
- 802-479-4083
- Fax Number
- 802-476-1476
Provider Business Mailing Address Details
- Address
- Po Box 647
Montpelier, VT 05601-0647 - City
- Montpelier
- State
- VT
- Zip
- 05601-0647
- Phone Number
- 802-479-4083
- Fax Number
- 802-476-1476
License Information
- License Number
- 097.0136421
- License State
- VT
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Student in an Organized Health Care Education/Training Program providers near Berlin, VT
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- Jay D Carey, MAStudent in an Organized Health Care Education/Training Program · NPI 1598233850
- Jedidiah P Danforth, BAStudent in an Organized Health Care Education/Training Program · NPI 1457266850
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Frequently Asked Questions
What is the NPI number of Ezra Demers?
The NPI number of Ezra Demers is 1033075601. It was assigned on December 29, 2025 and is currently active in the NPPES registry.
What is the specialty of Ezra Demers?
Ezra Demers is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in VT under license number 097.0136421.
Where does Ezra Demers practice?
The practice location is 174 Hospital Loop, Berlin, VT 05602-9105. The office can be reached at 802-479-4083 (phone) or 802-476-1476 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033075601 directly on the NPPES registry website.