Anderson, Eleanor J

Anderson, Eleanor J is an sole proprietor health care provider with primary practice located at 289 Main Street The Burton House, Norwich VT 05055. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Anderson, Eleanor J can be contacted via phone (802) 649-2877.

Contact Information

Primary practice address
289 Main Street The Burton House Norwich VT 05055
Phone: (802) 649-2877
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0470000548 Vermont

Profile Details

NPI number 1942303938
LBN Legal business name Anderson, Eleanor J
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2006
Last updated Jul 8th, 2007 - about 18 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 1942303938 NPPES
Vermont Other 38813 BLUE CROSS BLUE SHIELD
Vermont MEDICAID 1008448 BLUE CROSS BLUE SHIELD

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