Baslock, Daniel

Baslock, Daniel is an sole proprietor health care provider with primary practice located at 190 Eastern Ave , St Johnsbury VT 05819-5606. 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 / Clinical is his primary health care specialty. Baslock, Daniel can be contacted via phone (802) 535-9114.

Contact Information

Primary practice address
190 Eastern Ave St Johnsbury VT 05819-5606
Phone: (802) 535-9114
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 151.0126712 Vermont
Behavioral Health & Social Service Providers / Clinical 1041C0700X 089.0090488 Vermont

Profile Details

NPI number 1013217546
LBN Legal business name Baslock, Daniel
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2010
Last updated Mar 17th, 2018 - about 6 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 1013217546 NPPES
Vermont MEDICAID 1022005

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