Bomberger, Glenn
Bomberger, Glenn is an sole proprietor health care provider with primary practice located at 100 Hospitality Drive , Berlin VT 05641. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Bomberger, Glenn can be contacted via phone (802) 223-4156.Contact Information
Primary practice address
100 Hospitality Drive
Berlin VT 05641
Phone: (802) 223-4156
Fax: (802) 223-4332
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 151.0124410 | Vermont |
Profile Details
| NPI number | 1497206585 |
|---|---|
| LBN Legal business name | Bomberger, Glenn |
| Credentials | LADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2016 |
| Last updated | Oct 24th, 2016 - about 10 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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