Kyburz-Ladue, Maryanne
Kyburz-Ladue, Maryanne is an individual health care provider with primary practice located at 789 Pine St , Burlington VT 05401-4933. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietetic Technician, Registered, which is considered as her primary health care specialty. Kyburz-Ladue, Maryanne can be contacted via phone (802) 864-0693.Contact Information
Primary practice address
789 Pine St
Burlington VT 05401-4933
Phone: (802) 864-0693
Fax: (802) 860-6613
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Dietetic Technician, Registered | 136A00000X | 074-0000127 | Vermont |
Profile Details
NPI number | 1700840600 |
---|---|
LBN Legal business name | Kyburz-Ladue, Maryanne |
Credentials | Registered Dietitian (RD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 17th, 2006 |
Last updated | Jun 6th, 2013 - about 11 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 | 1700840600 | NPPES |
Vermont | MEDICAID | 1008797 |
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