Kippenberger, Samuel M.

Kippenberger, Samuel M. is an individual health care provider with primary practice located at 25 Ridgewood Rd Esne/Springfield Hospital Emergency Department, Springfield VT 05156-3050. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Kippenberger, Samuel M. can be contacted via phone (802) 885-7540.

Contact Information

Primary practice address
25 Ridgewood Rd Esne/Springfield Hospital Emergency Department Springfield VT 05156-3050
Phone: (802) 885-7540
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 055.0031092 Vermont

Profile Details

NPI number 1003138181
LBN Legal business name Kippenberger, Samuel M.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2010
Last updated Oct 23rd, 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 1003138181 NPPES
New Hampshire MEDICAID 30337990
New Hampshire MEDICAID 9000464

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