Diederich, Heather Lynn
Diederich, Heather Lynn is an sole proprietor health care provider with primary practice located at 368 Dorset St Ste 3, South Burlington VT 05403-6236. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Diederich, Heather Lynn can be contacted via phone (802) 864-4959.Contact Information
Primary practice address
368 Dorset St Ste 3
South Burlington VT 05403-6236
Phone: (802) 864-4959
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 006-0000998 | Vermont |
Profile Details
| NPI number | 1326101080 |
|---|---|
| LBN Legal business name | Diederich, Heather Lynn |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 17th, 2006 |
| Last updated | Mar 25th, 2016 - about 8 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 | 1326101080 | NPPES |
| Vermont | Other | 006-0000998 | LICENSCE |
| Vermont | MEDICAID | OVN1626 | LICENSCE |
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