Gambino, Jacqueline B.

Gambino, Jacqueline B. is an individual health care provider with primary practice located at 11 Kilburn St The Body Center, Burlington VT 05401-4750. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as her primary health care specialty. Gambino, Jacqueline B. can be contacted via phone (802) 865-9500.

Contact Information

Primary practice address
11 Kilburn St The Body Center Burlington VT 05401-4750
Phone: (802) 865-9500
Fax: (802) 865-9559
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X Vermont

Profile Details

NPI number 1609818376
LBN Legal business name Gambino, Jacqueline B.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Jul 8th, 2007 - about 17 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 1609818376 NPPES
Vermont Other 375545 MVP
Vermont MEDICAID 1007598 MVP
Vermont Other 7792624 MVP
Vermont Other 48377 MVP
Vermont Other 4693301 MVP

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