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Contact Information

SUSAN A BRODEUR, PA-C
77 WEED RD
ESSEX JUNCTION, VT05452-2724
 Phone: 802-871-0246
 Fax: 802-332-3117
 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 SUSAN A BRODEUR · (Female)

NPI # 1477936847
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/03/2015
Last updated 07/06/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • VT License # 055.0031295
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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