Licata, Anita Louise
Licata, Anita Louise is an individual health care provider with primary practice located at 354 Mountain View Dr Suite 300, Colchester VT 05446-5988. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Licata, Anita Louise can be contacted via phone (802) 864-0192.Contact Information
Primary practice address
354 Mountain View Dr Suite 300
Colchester VT 05446-5988
Phone: (802) 864-0192
Fax: (802) 860-4919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 042-0008753 | Vermont |
Profile Details
| NPI number | 1356444509 |
|---|---|
| LBN Legal business name | Licata, Anita Louise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Sep 8th, 2021 - about 3 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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