Destigter, Kristen
Destigter, Kristen is an sole proprietor health care provider with primary practice located at 111 Colchester Ave Dept. Of Radiology, Burlington VT 05401-1473. She recently has only one registered license in Allopathic & Osteopathic Physicians / Body Imaging, which is considered as her primary health care specialty. Destigter, Kristen can be contacted via phone (802) 847-3592.Contact Information
Primary practice address
111 Colchester Ave Dept. Of Radiology
Burlington VT 05401-1473
Phone: (802) 847-3592
Fax: (802) 847-4822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 042-0010186 | Vermont |
Profile Details
| NPI number | 1265459044 |
|---|---|
| LBN Legal business name | Destigter, Kristen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Oct 7th, 2013 - about 11 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 | 1265459044 | NPPES |
| Vermont | MEDICAID | OVN2536 |
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