Kyburz-Ladue, Maryanne

Kyburz-Ladue, Maryanne is an individual health care provider with primary practice located at 789 Pine St , Burlington VT 05401-4933. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietetic Technician, Registered, which is considered as her primary health care specialty. Kyburz-Ladue, Maryanne can be contacted via phone (802) 864-0693.

Contact Information

Primary practice address
789 Pine St Burlington VT 05401-4933
Phone: (802) 864-0693
Fax: (802) 860-6613
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietetic Technician, Registered 136A00000X 074-0000127 Vermont

Profile Details

NPI number 1700840600
LBN Legal business name Kyburz-Ladue, Maryanne
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Jun 6th, 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 1700840600 NPPES
Vermont MEDICAID 1008797

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