Kirschbaum, Wynne M

Kirschbaum, Wynne M is an individual health care provider with primary practice located at 792 College Pkwy Suite302, Colchester VT 05446-3052. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Kirschbaum, Wynne M can be contacted via phone (802) 655-4900.

Contact Information

Primary practice address
792 College Pkwy Suite302 Colchester VT 05446-3052
Phone: (802) 655-4900
Fax: (802) 655-5017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0550030813 Vermont
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0550030813 Vermont

Profile Details

NPI number 1386859890
LBN Legal business name Kirschbaum, Wynne M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Feb 1st, 2008 - about 18 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 1386859890 NPPES
Vermont MEDICAID 9000350

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