Krzanik, Jacqueline
Krzanik, Jacqueline is an individual health care provider with primary practice located at 140 Hospital Dr Suite 215, Bennington VT 05201-5009. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Krzanik, Jacqueline can be contacted via phone (802) 442-4785.Contact Information
Primary practice address
140 Hospital Dr Suite 215
Bennington VT 05201-5009
Phone: (802) 442-4785
Fax: (802) 447-3459
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 1010031947 | Vermont |
Profile Details
| NPI number | 1710949045 |
|---|---|
| LBN Legal business name | Krzanik, Jacqueline |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Sep 14th, 2011 - about 15 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 | 1710949045 | NPPES |
| Vermont | MEDICAID | 1012144 |
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