Van Straten, Amanda

Van Straten, Amanda is an individual health care provider with primary practice located at 1315 Hospital Dr , St Johnsbury VT 05819-9210. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Van Straten, Amanda can be contacted via phone (802) 748-7382.

Contact Information

Primary practice address
1315 Hospital Dr St Johnsbury VT 05819-9210
Phone: (802) 748-7382
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 042-0012906 Vermont

Profile Details

NPI number 1699900274
LBN Legal business name Van Straten, Amanda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2009
Last updated Apr 25th, 2017 - about 9 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 1699900274 NPPES
New Hampshire MEDICAID 3097034
New Hampshire MEDICAID 1023321

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