Van Slooten, Paul Herman

Van Slooten, Paul Herman is an individual health care provider with primary practice located at 789 Central Ave , Dover NH 03820-2526. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Van Slooten, Paul Herman can be contacted via phone (603) 740-2307.

Contact Information

Primary practice address
789 Central Ave Dover NH 03820-2526
Fax: (603) 609-6924
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 55 New Hampshire
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC1269 Maine

Profile Details

NPI number 1780646323
LBN Legal business name Van Slooten, Paul Herman
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Jun 4th, 2014 - about 10 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 1780646323 NPPES
Maine MEDICAID 1780646323
Maine MEDICAID 3074625

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