Brueck, Candice S

Brueck, Candice S is an individual health care provider with primary practice located at 321 Main Street Suite D, Winooski VT 05404. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Brueck, Candice S can be contacted via phone (802) 864-3785.

Contact Information

Primary practice address
321 Main Street Suite D Winooski VT 05404
Phone: (802) 864-3785
Fax: (802) 864-0274
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 0400003490 Vermont

Profile Details

NPI number 1114098449
LBN Legal business name Brueck, Candice S
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2006
Last updated Jul 8th, 2007 - about 19 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 1114098449 NPPES
Other 5270302 VMC EMI
Other 06558898 VMC EMI
Other 360645 VMC EMI

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