Brodzinski, Carey J
Brodzinski, Carey J is an individual health care provider with primary practice located at 185 Sherman Drive Suite 1, St Johnsbury VT 05819. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Brodzinski, Carey J can be contacted via phone (802) 748-5041.Contact Information
Primary practice address
185 Sherman Drive Suite 1
St Johnsbury VT 05819
Phone: (802) 748-5041
Fax: (802) 748-5094
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1010020383 | Vermont |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 101-0020383 | Vermont |
Profile Details
NPI number | 1225093636 |
---|---|
LBN Legal business name | Brodzinski, Carey J |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 19th, 2006 |
Last updated | Sep 20th, 2010 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225093636 | NPPES |
Vermont | MEDICAID | 0NP2800 | |
Vermont | Other | P21615 |
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