Freeman, Ivy Florence
Freeman, Ivy Florence is an individual health care provider with primary practice located at 10 Easterly Avenue , Rutland VT 05701. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Freeman, Ivy Florence can be contacted via phone (802) 773-1116.Contact Information
Primary practice address
10 Easterly Avenue
Rutland VT 05701
Phone: (802) 773-1116
Fax: (802) 773-1116
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0680000052 | Vermont |
Profile Details
| NPI number | 1740365006 |
|---|---|
| LBN Legal business name | Freeman, Ivy Florence |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1740365006 | NPPES |
| Vermont | Other | 5660 | BLUE CROSS BLUE SHIELD |
| Vermont | MEDICAID | 1006859 | BLUE CROSS BLUE SHIELD |
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