O'Brien, David
O'Brien, David is an individual health care provider with primary practice located at 100 Ledgehill Rd , Bennington VT 05201-2273. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. O'Brien, David can be contacted via phone (802) 442-5491.Contact Information
Primary practice address
100 Ledgehill Rd
Bennington VT 05201-2273
Phone: (802) 442-5491
Fax: (802) 442-4910
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 000179 | Vermont |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 000179 | Vermont |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 000179 | Vermont |
Profile Details
NPI number | 1790794139 |
---|---|
LBN Legal business name | O'Brien, David |
Credentials | LADC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 5th, 2006 |
Last updated | Mar 21st, 2008 - 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 | 1790794139 | NPPES |
Other | 2068037 | CIGNA | |
Other | 224426 | CIGNA | |
Other | 38186 | CIGNA |
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