Detzer, Mark J
Detzer, Mark J is an individual health care provider with primary practice located at 85 N Main St Suite 200, White River Junction VT 05001-7134. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Detzer, Mark J can be contacted via phone (802) 299-6498.Contact Information
Primary practice address
85 N Main St Suite 200
White River Junction VT 05001-7134
Phone: (802) 299-6498
Fax: (888) 972-1623
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 854 | New Hampshire |
Profile Details
| NPI number | 1215032214 |
|---|---|
| LBN Legal business name | Detzer, Mark J |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Oct 4th, 2013 - about 12 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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