Provider Demographics
NPI:1023025251
Name:FERRITER, WILLIAM B JR (DPM)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:B
Last Name:FERRITER
Suffix:JR
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 127
Mailing Address - Street 2:
Mailing Address - City:THETFORD
Mailing Address - State:VT
Mailing Address - Zip Code:05074-0127
Mailing Address - Country:US
Mailing Address - Phone:802-785-2537
Mailing Address - Fax:
Practice Address - Street 1:5 COMMONS ST
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701
Practice Address - Country:US
Practice Address - Phone:802-785-2537
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0127213E00000X
VT90213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0008242Medicaid
NH0127OtherLICENSE #
VT90OtherSTATE LICENSE #
NH00000063Medicaid
CA11038331OtherRAILROAD MEDICARE
NH0127OtherLICENSE #
VT90OtherSTATE LICENSE #
VT0008242Medicaid