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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912916628 NPPES
Vermont MEDICAID 9000152

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