Ingerick, Samantha Burnham

Ingerick, Samantha Burnham is an sole proprietor health care provider with primary practice located at 4384 Main Street , Manchester VT 05254-9207. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Ingerick, Samantha Burnham can be contacted via phone (802) 768-9136.

Contact Information

Primary practice address
4384 Main Street Manchester VT 05254-9207
Phone: (802) 768-9136
Fax: (802) 662-2173
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F382385-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 088196-23 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 101.0134299 Vermont

Profile Details

NPI number 1457750234
LBN Legal business name Ingerick, Samantha Burnham
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2014
Last updated Oct 23rd, 2023 - about 2 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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