Basiliere, Carolyn

Basiliere, Carolyn is an individual health care provider with primary practice located at 156 College St Ste 201, Burlington VT 05401-8423. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Basiliere, Carolyn can be contacted via phone (802) 657-3647.

Contact Information

Primary practice address
156 College St Ste 201 Burlington VT 05401-8423
Phone: (802) 657-3647
Fax: (802) 860-0183
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 048.0000752 Vermont

Profile Details

NPI number 1447325550
LBN Legal business name Basiliere, Carolyn
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2006
Last updated Sep 21st, 2021 - about 3 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 1447325550 NPPES
Vermont Other 58533 BLUE CROSS BLUE SHIELD
Vermont Other 23-7182584 BLUE CROSS BLUE SHIELD
Vermont Other 785938 BLUE CROSS BLUE SHIELD
Vermont MEDICAID 1008273 BLUE CROSS BLUE SHIELD

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