Decker, Andrea Leigh
Decker, Andrea Leigh is an sole proprietor health care provider with primary practice located at 111 Colchester Ave Fahc Emergency Department, Burlington VT 05401-1473. 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. Decker, Andrea Leigh can be contacted via phone (802) 847-1237.Contact Information
Primary practice address
111 Colchester Ave Fahc Emergency Department
Burlington VT 05401-1473
Phone: (802) 847-1237
Fax: (802) 847-5963
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 026780 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 55-0030650 | Vermont |
Profile Details
| NPI number | 1366476400 |
|---|---|
| LBN Legal business name | Decker, Andrea Leigh |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Dec 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366476400 | NPPES |
| Vermont | MEDICAID | 9000163 |
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