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
Fax: (802) 847-5963
Website:

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366476400 NPPES
Vermont MEDICAID 9000163

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