Active NPIIndividual provider

Jesse Stirtan, BA MED

Community Health Worker in Brattleboro, Vermont

NPI Number1194580118
Practice location
51 Fairview Street, Brattleboro, VT 05301
Fax
802-886-4520
Last updated
February 19, 2024

Jesse Stirtan is a Community Health Worker based in Brattleboro, VT. Jesse Stirtan practices in Brattleboro, VT and has the professional credentials of BA MED. The NPI Number for Jesse Stirtan is 1194580118. The current practice location address for Jesse Stirtan is 51 Fairview Street, Brattleboro, VT 05301 and can be reached out via phone at 802-254-6028 and via fax at 802-886-4520.

Provider Profile Details

NPI Number
1194580118
Provider Name
Jesse Stirtan
Credential
BA MED
Provider Entity Type
Individual
Gender
Male
Address
51 Fairview Street, Brattleboro, VT 05301
Phone Number
802-254-6028
Fax Number
802-886-4520
Primary Taxonomy
Community Health Worker · 172V00000X
Sole Proprietor
No
Provider Enumeration Date
February 19, 2024
Last Update Date
February 19, 2024
Certification Date
February 19, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
51 Fairview Street
Brattleboro, VT 05301
State
Vermont
Zip
05301
Phone Number
802-254-6028
Fax Number
802-886-4520
Brattleboro, VT 05301Get directions →

Provider Business Mailing Address Details

Address
390 River Street
Springfield, VT 05156
City
Springfield
State
VT
Zip
05156
Phone Number
802-886-4500
Fax Number
802-886-4520

License Information

Taxonomy
Community Health Worker · 172V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jesse Stirtan, BA MED?

The NPI number of Jesse Stirtan, BA MED is 1194580118. It was assigned on February 19, 2024 and is currently active in the NPPES registry.

What is the specialty of Jesse Stirtan, BA MED?

Jesse Stirtan, BA MED is registered under the primary taxonomy Community Health Worker (code 172V00000X).

Where does Jesse Stirtan, BA MED practice?

The practice location is 51 Fairview Street, Brattleboro, VT 05301. The office can be reached at 802-254-6028 (phone) or 802-886-4520 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194580118 directly on the NPPES registry website.

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