Ambler, Jenifer W

Ambler, Jenifer W is an individual health care provider with primary practice located at 1222 Putney Rd , Brattleboro VT 05301-9062. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Ambler, Jenifer W can be contacted via phone (802) 254-6900.

Contact Information

Primary practice address
1222 Putney Rd Brattleboro VT 05301-9062
Fax: (802) 254-7610
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 030-0000234 Vermont

Profile Details

NPI number 1306841507
LBN Legal business name Ambler, Jenifer W
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Sep 26th, 2014 - about 12 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 1306841507 NPPES
Vermont MEDICAID 9163

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