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:
Health care specialties
Specialty | Code | License # | 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 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013938992 | NPPES |
Colorado | MEDICAID | 44485018 | |
Colorado | MEDICAID | 9000489 |
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