Gadd, Justine

Gadd, Justine is an individual health care provider with primary practice located at 246 Granger Rd Suite 2, Berlin VT 05602-9516. 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. Gadd, Justine can be contacted via phone (802) 225-5810.

Contact Information

Primary practice address
246 Granger Rd Suite 2 Berlin VT 05602-9516
Phone: (802) 225-5810
Fax: (802) 371-4821
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 055-0030702 Vermont

Profile Details

NPI number 1669499430
LBN Legal business name Gadd, Justine
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated May 8th, 2014 - about 10 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 1669499430 NPPES
Vermont MEDICAID 9000196

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