Dambach, Jessica I.
Dambach, Jessica I. is an sole proprietor health care provider with primary practice located at 65 Northgate Plaza Suite 11, Morrisville VT 05661-5900. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Dambach, Jessica I. can be contacted via phone (802) 888-8320.Contact Information
Primary practice address
65 Northgate Plaza Suite 11
Morrisville VT 05661-5900
Phone: (802) 888-8320
Fax: (802) 888-8136
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0680000596 | Vermont |
Profile Details
| NPI number | 1306927447 |
|---|---|
| LBN Legal business name | Dambach, Jessica I. |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2006 |
| Last updated | May 31st, 2012 - 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 | 1306927447 | NPPES |
| Vermont | MEDICAID | 1009127 |
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