Pedersen, Pamela Carol

Pedersen, Pamela Carol is an sole proprietor health care provider with primary practice located at 48 Lower Newton St Suite 2, Saint Albans VT 05478-1907. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Pedersen, Pamela Carol can be contacted via phone (802) 524-4554.

Contact Information

Primary practice address
48 Lower Newton St Suite 2 Saint Albans VT 05478-1907
Phone: (802) 524-4554
Fax: (802) 524-4501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 042-0009670 Vermont

Profile Details

NPI number 1194908004
LBN Legal business name Pedersen, Pamela Carol
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2007
Last updated Oct 12th, 2009 - about 17 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 1194908004 NPPES
Vermont MEDICAID 0VN1889

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