Stoltenberg, George
Stoltenberg, George is an individual health care provider with primary practice located at 300 Flynn Ave , Burlington VT 05401-5301. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Stoltenberg, George can be contacted via phone (802) 658-0404.Contact Information
Primary practice address
300 Flynn Ave
Burlington VT 05401-5301
Phone: (802) 658-0404
Fax: (802) 660-3665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 048-0000223 | Vermont |
Profile Details
| NPI number | 1326100538 |
|---|---|
| LBN Legal business name | Stoltenberg, George |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Jun 10th, 2024 - about 3 months 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 | 1326100538 | NPPES |
| Vermont | MEDICAID | 0006575 |
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