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Contact Information

HEATHER A LAROSE, PAC
789 PINE ST
BURLINGTON, VT05401
 Phone: 802-864-0693
 Fax: 802-860-6613
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for HEATHER A LAROSE · (Female)

NPI Number 1154321842
Status Active
Credentials PAC
Entity Individual
Enumeration date 07/26/2005
Last updated 06/07/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 011444
  • VT License # 0550030631
  • VT Medicaid 0002358
  • VT Other 00038362 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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