Kohn, Mary Anne
Kohn, Mary Anne is an individual health care provider with primary practice located at 789 Pine St , Burlington VT 05401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Kohn, Mary Anne can be contacted via phone (802) 864-0693.Contact Information
Primary practice address
789 Pine St
Burlington VT 05401
Phone: (802) 864-0693
Fax: (802) 860-4313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 101.0134139 | Vermont |
Profile Details
| NPI number | 1639521412 |
|---|---|
| LBN Legal business name | Kohn, Mary Anne |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2016 |
| Last updated | Mar 19th, 2019 - about 5 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 | 1639521412 | NPPES |
| Vermont | MEDICAID | 1033787 |
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