Destigter, Kristen

Destigter, Kristen is an sole proprietor health care provider with primary practice located at 111 Colchester Ave Dept. Of Radiology, Burlington VT 05401-1473. She recently has only one registered license in Allopathic & Osteopathic Physicians / Body Imaging, which is considered as her primary health care specialty. Destigter, Kristen can be contacted via phone (802) 847-3592.

Contact Information

Primary practice address
111 Colchester Ave Dept. Of Radiology Burlington VT 05401-1473
Phone: (802) 847-3592
Fax: (802) 847-4822
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 042-0010186 Vermont

Profile Details

NPI number 1265459044
LBN Legal business name Destigter, Kristen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2006
Last updated Oct 7th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265459044 NPPES
Vermont MEDICAID OVN2536

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