Drudge, Owen W
Drudge, Owen W is an individual health care provider with primary practice located at 790 College Pkwy , Colchester VT 05446-3007. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Drudge, Owen W can be contacted via phone (802) 847-4378.Contact Information
Primary practice address
790 College Pkwy
Colchester VT 05446-3007
Phone: (802) 847-4378
Fax: (802) 847-8899
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 048-0000672 | Vermont |
Profile Details
| NPI number | 1669486080 |
|---|---|
| LBN Legal business name | Drudge, Owen W |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1669486080 | NPPES |
| Vermont | MEDICAID | OVN1456 |
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