Micciche, Jane Helena

Micciche, Jane Helena is an sole proprietor health care provider with primary practice located at 97 Sherman Dr Suite 1, St Johnsbury VT 05819-9280. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Micciche, Jane Helena can be contacted via phone (802) 748-5131.

Contact Information

Primary practice address
97 Sherman Dr Suite 1 St Johnsbury VT 05819-9280
Phone: (802) 748-5131
Fax: (802) 748-4237
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1010015859 Vermont

Profile Details

NPI number 1124138706
LBN Legal business name Micciche, Jane Helena
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - 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 1124138706 NPPES
Vermont MEDICAID 1005217
Vermont MEDICAID 30008266

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