Pitkin, Gary L

Pitkin, Gary L is an sole proprietor health care provider with primary practice located at 190 Main St , Brattleboro VT 05301-2837. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Pitkin, Gary L can be contacted via phone (802) 254-9071.

Contact Information

Primary practice address
190 Main St Brattleboro VT 05301-2837
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Vermont

Profile Details

NPI number 1255302295
LBN Legal business name Pitkin, Gary L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 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 1255302295 NPPES
Vermont MEDICAID 1006833
Vermont Other 45680
Vermont Other 61227
Vermont MEDICAID 30420993
Vermont Other 080-1606

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