Libstag, Kraig

Libstag, Kraig is an individual health care provider with primary practice located at 86 Lake St , Burlington VT 05401-5297. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Libstag, Kraig can be contacted via phone (802) 865-3450.

Contact Information

Primary practice address
86 Lake St Burlington VT 05401-5297
Phone: (802) 865-3450
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0480000541 Vermont

Profile Details

NPI number 1427076660
LBN Legal business name Libstag, Kraig
Credentials ED.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jul 8th, 2007 - about 18 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 1427076660 NPPES
Vermont MEDICAID 1003824

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