Green, Andrea Elizabeth
Green, Andrea Elizabeth is an sole proprietor health care provider with primary practice located at 1 South Prospect Street Uhc Pediatrics, Burlington VT 05401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Green, Andrea Elizabeth can be contacted via phone (802) 847-4696.Contact Information
Primary practice address
1 South Prospect Street Uhc Pediatrics
Burlington VT 05401
Phone: (802) 847-4696
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 042-0010520 | Vermont |
Profile Details
| NPI number | 1649286451 |
|---|---|
| LBN Legal business name | Green, Andrea Elizabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649286451 | NPPES |
| Vermont | MEDICAID | 1009409 |
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