Hynes, Nicole R
Hynes, Nicole R is an individual health care provider with primary practice located at 111 Colchester Ave Rheumatology Acc 5Th Floor, Burlington VT 05401-1473. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Hynes, Nicole R can be contacted via phone (802) 847-4574.Contact Information
Primary practice address
111 Colchester Ave Rheumatology Acc 5Th Floor
Burlington VT 05401-1473
Phone: (802) 847-4574
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 0600002821 | Vermont |
Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 0420011649 | Vermont |
Profile Details
NPI number | 1750415063 |
---|---|
LBN Legal business name | Hynes, Nicole R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 16th, 2007 |
Last updated | Sep 3rd, 2009 - about 16 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 | 1750415063 | NPPES |
Vermont | MEDICAID | 1015498 |
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