Broer, Stephen Michael
Broer, Stephen Michael is an sole proprietor health care provider with primary practice located at 27 Rye Cir , South Burlington VT 05403-7632. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Broer, Stephen Michael can be contacted via phone (802) 782-6737.Contact Information
Primary practice address
27 Rye Cir
South Burlington VT 05403-7632
Phone: (802) 782-6737
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 048-0000817 | Vermont |
Profile Details
| NPI number | 1255306528 |
|---|---|
| LBN Legal business name | Broer, Stephen Michael |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Jun 6th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255306528 | NPPES |
| Vermont | Other | 2056678 | CIGNA |
| Vermont | Other | 68020 | CIGNA |
| Vermont | MEDICAID | 1010555 | CIGNA |
| Vermont | Other | 356530 | CIGNA |
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