Eltabbakh, Georgia D

Eltabbakh, Georgia D is an individual health care provider with primary practice located at 1060 Hinesburg Rd Suite 301, South Burlington VT 05403-7612. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Eltabbakh, Georgia D can be contacted via phone (802) 859-9500.

Contact Information

Primary practice address
1060 Hinesburg Rd Suite 301 South Burlington VT 05403-7612
Phone: (802) 859-9500
Fax: (802) 859-9944
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0550030657 Vermont
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0550030657 Vermont
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 010999 New York

Profile Details

NPI number 1871589150
LBN Legal business name Eltabbakh, Georgia D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Jun 28th, 2013 - about 12 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 1871589150 NPPES
Vermont MEDICAID 90000398

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