Boston, Deborah E.
Boston, Deborah E. is an individual health care provider with primary practice located at 128 Merchants Row Ste 510 , Rutland VT 05701. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Boston, Deborah E. can be contacted via phone (802) 855-8260.Contact Information
Primary practice address
128 Merchants Row Ste 510
Rutland VT 05701
Phone: (802) 855-8260
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 089.0079450 | Vermont |
Profile Details
NPI number | 1528339959 |
---|---|
LBN Legal business name | Boston, Deborah E. |
Credentials | LICSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 17th, 2012 |
Last updated | Oct 31st, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528339959 | NPPES |
Vermont | MEDICAID | 1020156 | |
Vermont | MEDICAID | 03967782 |
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