Fondacaro, Karen Marie
Fondacaro, Karen Marie is an individual health care provider with primary practice located at 2 Colchester Ave , Burlington VT 05405-1764. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fondacaro, Karen Marie can be contacted via phone (802) 656-2661.Contact Information
Primary practice address
2 Colchester Ave
Burlington VT 05405-1764
Phone: (802) 656-2661
Fax: (802) 656-3485
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0480000390 | Vermont |
Profile Details
| NPI number | 1225081243 |
|---|---|
| LBN Legal business name | Fondacaro, Karen Marie |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Feb 28th, 2017 - about 7 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 | 1225081243 | NPPES |
| Vermont | Other | 8721 | BCBS |
| Vermont | MEDICAID | 1002226 | BCBS |
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