Cannizzaro, Michael S
Cannizzaro, Michael S is an individual health care provider with primary practice located at 489 Main Street University Of Vermont Pomeroy Hall, Burlington VT 05405-0130. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Cannizzaro, Michael S can be contacted via phone (802) 656-3861.Contact Information
Primary practice address
489 Main Street University Of Vermont Pomeroy Hall
Burlington VT 05405-0130
Phone: (802) 656-3861
Fax: (802) 656-2528
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 002958 | Connecticut |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 1202944 |
Profile Details
| NPI number | 1972636967 |
|---|---|
| LBN Legal business name | Cannizzaro, Michael S |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1972636967 | NPPES |
| Other | 00069242 | BLUE CROSS BLUE SHIELD | |
| Other | 4148154 | BLUE CROSS BLUE SHIELD |
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