Roseman, Debra Ann
Roseman, Debra Ann is an individual health care provider with primary practice located at 111 Colchester Ave Fahc - Wp 5 - Dermatology, Burlington VT 05401-1473. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Roseman, Debra Ann can be contacted via phone (802) 847-4570.Contact Information
Primary practice address
111 Colchester Ave Fahc - Wp 5 - Dermatology
Burlington VT 05401-1473
Phone: (802) 847-4570
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 055-0030651 | Vermont |
Profile Details
NPI number | 1912916628 |
---|---|
LBN Legal business name | Roseman, Debra Ann |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 5th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1912916628 | NPPES |
Vermont | MEDICAID | 9000152 |
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