Active NPIIndividual provider

Ernesto Cantu Jr., DO

General Practice in Saint Albans, Vermont

NPI Number1164837605
Practice location
3 Crest RD, Saint Albans, VT 05478-9753
Fax
—
Last updated
June 30, 2020

Ernesto Cantu is a General Practice based in Saint Albans, VT. Ernesto Cantu practices in Saint Albans, VT and has the professional credentials of DO. The NPI Number for Ernesto Cantu is 1164837605 and holds a License No. ED0456A (WV). The current practice location address for Ernesto Cantu is 3 Crest RD, Saint Albans, VT 05478-9753 and can be reached out via phone at 802-524-4554.

Provider Profile Details

NPI Number
1164837605
Provider Name
Ernesto Cantu
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3 Crest RD, Saint Albans, VT 05478-9753
Phone Number
802-524-4554
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
No
Provider Enumeration Date
June 24, 2014
Last Update Date
June 30, 2020
Certification Date
June 30, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 Crest RD
Saint Albans, VT 05478-9753
State
Vermont
Zip
05478-9753
Phone Number
802-524-4554
Saint Albans, VT 05478Get directions →

Provider Business Mailing Address Details

Address
14 Wildwood Dr
Essex Junction, VT 05452-3816
City
Essex Junction
State
VT
Zip
05452-3816
Phone Number
859-420-1849

License Information

License Number (1)
ED0456A
License State (1)
WV
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
125.066294
License State (2)
IL
Taxonomy (2)
Nuclear Medicine · 207U00000X
License Number (3)
032.0133827
License State (3)
VT
Taxonomy (3)
General Practice · 208D00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ernesto Cantu Jr., DO?

The NPI number of Ernesto Cantu Jr., DO is 1164837605. It was assigned on June 24, 2014 and is currently active in the NPPES registry.

What is the specialty of Ernesto Cantu Jr., DO?

Ernesto Cantu Jr., DO is registered under the primary taxonomy General Practice (code 208D00000X), licensed in WV under license number ED0456A.

Where does Ernesto Cantu Jr., DO practice?

The practice location is 3 Crest RD, Saint Albans, VT 05478-9753. The office can be reached at 802-524-4554 (phone).

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 1164837605 directly on the NPPES registry website.

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