MEDICARE: DR. JASON KEITH VEITH DO

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	032.0120720	VT

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	:	1871755876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON KEITH VEITH DO

Provider Business Mailing Address
First Line	:	64 BROOKSHIRE DR
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19116-1217
Country	:	US
Telephone Number	:	740-208-0051
Fax Number	:

Provider Business Practice Location Address
First Line	:	17 BELMONT AVE STE 1
Second Line	:
City	:	BRATTLEBORO
State	:	VT
Zip	:	05301-3498
Country	:	US
Telephone Number	:	802-257-0341
Fax Number	:	802-257-8834

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

Provider Enumeration Date	:	06/30/2008
Last Update Date	:	01/27/2022

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