Hyde, Mercy Russell
Hyde, Mercy Russell is an sole proprietor health care provider with primary practice located at 168 Battery St , Burlington VT 05401-5285. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hyde, Mercy Russell can be contacted via phone (802) 233-1142.Contact Information
Primary practice address
168 Battery St
Burlington VT 05401-5285
Phone: (802) 233-1142
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 89-0000212 | Vermont |
Profile Details
| NPI number | 1063567139 |
|---|---|
| LBN Legal business name | Hyde, Mercy Russell |
| Credentials | M.S.W. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Jan 6th, 2011 - about 13 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 | 1063567139 | NPPES |
| Vermont | Other | 821-8223 | VERMONT BCBS PIN |
| Vermont | Other | 89-0000212 | VERMONT BCBS PIN |
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