Russell, Margaret
Russell, Margaret is an individual health care provider with primary practice located at 617 Riverside Ave , Burlington VT 05401-1601. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Russell, Margaret can be contacted via phone (802) 864-6309.Contact Information
Primary practice address
617 Riverside Ave
Burlington VT 05401-1601
Phone: (802) 864-6309
Fax: (802) 860-4324
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0550030357 | Vermont |
Profile Details
| NPI number | 1609963537 |
|---|---|
| LBN Legal business name | Russell, Margaret |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Jul 24th, 2015 - about 10 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 | 1609963537 | NPPES |
| Vermont | Other | 29383 | VERMONT MANAGED CARE |
| Vermont | Other | 29383 | VERMONT MANAGED CARE |
| Vermont | Other | 08V126 | VERMONT MANAGED CARE |
| Vermont | MEDICAID | 9000277 | VERMONT MANAGED CARE |
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