Wilson, Grace Becker
Wilson, Grace Becker is an sole proprietor health care provider with primary practice located at 160 Benmont Ave , Bennington VT 05201-1873. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wilson, Grace Becker can be contacted via phone (802) 379-4548.Contact Information
Primary practice address
160 Benmont Ave
Bennington VT 05201-1873
Phone: (802) 379-4548
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0890000712 | Vermont |
Profile Details
| NPI number | 1083740815 |
|---|---|
| LBN Legal business name | Wilson, Grace Becker |
| Credentials | LIC SW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Mar 19th, 2012 - about 12 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 | 1083740815 | NPPES |
| Vermont | MEDICAID | OVN1867 |
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