Bando, Ellen Mary

Bando, Ellen Mary is an individual health care provider with primary practice located at 331 Upper Plain , Bradford VT 05033. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bando, Ellen Mary can be contacted via phone (802) 222-4722.

Contact Information

Primary practice address
331 Upper Plain Bradford VT 05033
Phone: (802) 222-4722
Fax: (802) 222-4709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 055-0030836 Vermont
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0569 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2333 Arizona

Profile Details

NPI number 1699765057
LBN Legal business name Bando, Ellen Mary
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Dec 8th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699765057 NPPES
Vermont MEDICAID 9000244
Vermont MEDICAID 518160
Vermont MEDICAID 30334002

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