Baker, Edwin G
Baker, Edwin G is an sole proprietor health care provider with primary practice located at 31 Lower Main St , Morrisville VT 05661-0919. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Baker, Edwin G can be contacted via phone (802) 888-3600.Contact Information
Primary practice address
31 Lower Main St
Morrisville VT 05661-0919
Phone: (802) 888-3600
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 000014 | Vermont |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0890000161 | Vermont |
Profile Details
NPI number | 1881764348 |
---|---|
LBN Legal business name | Baker, Edwin G |
Credentials | LICSW LADC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 9th, 2006 |
Last updated | Feb 26th, 2008 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1881764348 | NPPES |
Vermont | MEDICAID | 1006728 |
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