Whitman, Susan
Whitman, Susan is an individual health care provider with primary practice located at 425 Pearl St , Burlington VT 05401-3308. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Whitman, Susan can be contacted via phone (802) 656-3350.Contact Information
Primary practice address
425 Pearl St
Burlington VT 05401-3308
Phone: (802) 656-3350
Fax: (802) 656-8001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0550030747 | Vermont |
Profile Details
| NPI number | 1326149220 |
|---|---|
| LBN Legal business name | Whitman, Susan |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Sep 4th, 2012 - about 13 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 | 1326149220 | NPPES |
| Vermont | MEDICAID | 9000241 | |
| Vermont | Other | 69001 | |
| Vermont | Other | 0030747 | |
| Vermont | Other | 69001 | |
| Vermont | Other | 793628 |
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