Jernigan, Lindsay Bennigson
Jernigan, Lindsay Bennigson is an individual health care provider with primary practice located at 185 Tilley Dr Suite 14, South Burlington VT 05403-4484. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jernigan, Lindsay Bennigson can be contacted via phone (802) 229-8270.Contact Information
Primary practice address
185 Tilley Dr Suite 14
South Burlington VT 05403-4484
Phone: (802) 229-8270
Fax: (802) 862-8411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 048.0056429 | Vermont |
Profile Details
| NPI number | 1093990632 |
|---|---|
| LBN Legal business name | Jernigan, Lindsay Bennigson |
| Credentials | PH.D., M.A. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2008 |
| 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 | 1093990632 | NPPES |
| Vermont | MEDICAID | 1014583 | |
| Vermont | Other | 11815987 |
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