Stephen, Siobhan Marie
Stephen, Siobhan Marie is an individual health care provider with primary practice located at 44 Timber Lane , South Burlington VT 05403-7282. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Stephen, Siobhan Marie can be contacted via phone (802) 860-6725.Contact Information
Primary practice address
44 Timber Lane
South Burlington VT 05403-7282
Phone: (802) 860-6725
Fax: (802) 864-0277
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 0160002093 | Vermont |
Profile Details
| NPI number | 1134143803 |
|---|---|
| LBN Legal business name | Stephen, Siobhan Marie |
| Credentials | DMD MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 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 | 1134143803 | NPPES |
| Vermont | Other | 49278 | BLUE CROSS |
| Vermont | MEDICAID | VN2292 | BLUE CROSS |
| Vermont | Other | 102V106 | BLUE CROSS |
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