MEDICARE: WILLIAM ALAN SARGENT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	042-0006167	VT
2	207P00000X	Emergency Medicine Physician	9072	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265483697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM ALAN SARGENT MD

Provider Business Mailing Address
First Line	:	815 N KIRBY RD
Second Line	:
City	:	LYNDONVILLE
State	:	VT
Zip	:	05851-9693
Country	:	US
Telephone Number	:	802-626-8300
Fax Number	:	802-626-4533

Provider Business Practice Location Address
First Line	:	815 N KIRBY RD
Second Line	:
City	:	LYNDONVILLE
State	:	VT
Zip	:	05851-9693
Country	:	US
Telephone Number	:	802-626-8300
Fax Number	:	802-626-4533

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	07/08/2007

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Directions to “ WILLIAM ALAN SARGENT MD” Practice Location

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