Jeffrey Barton Fine, PA-C
Individual provider Active NPI Physician Assistant · Saint Albans, VT
NPI 1609890896 · NPPES record last updated Nov 15, 2010
Key facts
- NPI
- 1609890896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 055-0030897 (VT)
- Practice address
- 9 Crest Rd
Saint Albans, VT 05478-9701 - Phone
- (802) 527-0753
- Fax
- (802) 524-2695
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055-0030897 | VT | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 055-0030897 | VT | Yes |
Addresses
Primary practice location
9 Crest Rd
Saint Albans, VT 05478-9701
Mailing address
3899 North Rd
Fairfield, VT 05455-9656
Phone (802) 827-3667
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0AP1170 | Medicaid | VT |
Other providers in Saint Albans, VT
- Megan Nichol Heidkamp Favreau
- Michaela Anne Federspiel
- Andrew D Felsted
- Julian Campbell Ferris
- Fiddlehead Family Dentistry PC
- Molly Finnigan
- Rebecca Fish
- Ashley Fitzgerald
- Catherine Fitzgerald
- Samantha Fitzgerald
All providers in Saint Albans, VT · Physician Assistant in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.