Bijur, Matthew
Bijur, Matthew is an sole proprietor health care provider with primary practice located at 20 W Canal St , Winooski VT 05404-2131. 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 / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Bijur, Matthew can be contacted via phone (802) 598-1060.Contact Information
Primary practice address
20 W Canal St
Winooski VT 05404-2131
Phone: (802) 598-1060
Fax: (802) 425-5435
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 000346 | Vermont |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0680000604 | Vermont |
Profile Details
NPI number | 1215014725 |
---|---|
LBN Legal business name | Bijur, Matthew |
Credentials | M.S. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 1st, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1215014725 | NPPES |
Vermont | MEDICAID | 1010050 |
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