Lax, William David
Lax, William David is an sole proprietor health care provider with primary practice located at 352 Orchard St , Brattleboro VT 05301-4217. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Lax, William David can be contacted via phone (802) 380-8852.Contact Information
Primary practice address
352 Orchard St
Brattleboro VT 05301-4217
Phone: (802) 380-8852
Fax: (802) 488-5714
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 188 | Vermont |
Profile Details
| NPI number | 1548247570 |
|---|---|
| LBN Legal business name | Lax, William David |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 30th, 2005 |
| Last updated | Apr 13th, 2023 - about 2 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 | 1548247570 | NPPES |
| New Hampshire | MEDICAID | 40426548 | |
| New Hampshire | MEDICAID | 0002610 |
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