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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326101080 NPPES
Vermont Other 006-0000998 LICENSCE
Vermont MEDICAID OVN1626 LICENSCE

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