Despoelberch, Nicholas
Despoelberch, Nicholas is an individual health care provider with primary practice located at 30 Hazel Terrace Suite 11, Woodbridge CT 06525. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Despoelberch, Nicholas can be contacted via phone (203) 819-7650.Contact Information
Primary practice address
30 Hazel Terrace Suite 11
Woodbridge CT 06525
Phone: (203) 819-7650
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2729 | Connecticut |
Profile Details
| NPI number | 1235525387 |
|---|---|
| LBN Legal business name | Despoelberch, Nicholas |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 15th, 2015 |
| Last updated | Mar 31st, 2016 - about 8 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 | 1235525387 | NPPES |
| Connecticut | Other | 008058532 | DESPOELBERCH MEDICAID |
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