Vaughn, Anita
Vaughn, Anita is an sole proprietor health care provider with primary practice located at 5711 Birchview Pl , Clinton MD 20735-4817. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Vaughn, Anita can be contacted via phone (908) 472-1127.Contact Information
Primary practice address
5711 Birchview Pl
Clinton MD 20735-4817
Phone: (908) 472-1127
Fax: (862) 252-9399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 308186 | New York |
| Other Service Providers / Specialist | 174400000X | MA41607 | New Jersey |
Profile Details
| NPI number | 1578503942 |
|---|---|
| LBN Legal business name | Vaughn, Anita |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Nov 29th, 2022 - about 2 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 | 1578503942 | NPPES |
| New Jersey | MEDICAID | 3998509 |
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