Maloney, Kathleen Thayer
Maloney, Kathleen Thayer is an sole proprietor health care provider with primary practice located at Fahc 111 Colchester Ave, Burlington VT 05401-1063. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Maloney, Kathleen Thayer can be contacted via phone (802) 847-0000.Contact Information
Primary practice address
Fahc 111 Colchester Ave
Burlington VT 05401-1063
Phone: (802) 847-0000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 055-0030766 | Vermont |
Profile Details
| NPI number | 1861457806 |
|---|---|
| LBN Legal business name | Maloney, Kathleen Thayer |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Jul 8th, 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 | 1861457806 | NPPES |
| Vermont | MEDICAID | 9000233 |
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