Forehand, Rex L

Forehand, Rex L is an individual health care provider with primary practice located at 2 Colchester Ave , Burlington VT 05405-1764. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Forehand, Rex L 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:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0480000820 Vermont

Profile Details

NPI number 1982657532
LBN Legal business name Forehand, Rex L
Credentials PH D
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Feb 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982657532 NPPES
Vermont MEDICAID 1009876
Vermont Other 59550

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