Brown, Abigail Rose

Brown, Abigail Rose is an individual health care provider with primary practice located at 173 S Main St , Rutland VT 05701-4713. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Brown, Abigail Rose can be contacted via phone (802) 772-4165.

Contact Information

Primary practice address
173 S Main St Rutland VT 05701-4713
Phone: (802) 772-4165
Fax: (802) 855-8489
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 055-0031067 Vermont
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2244 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 055.0031067 Vermont

Profile Details

NPI number 1013938992
LBN Legal business name Brown, Abigail Rose
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2006
Last updated May 28th, 2021 - about 3 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 1013938992 NPPES
Colorado MEDICAID 44485018
Colorado MEDICAID 9000489

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