Wolak, Richard

Wolak, Richard is an individual health care provider with primary practice located at 30 Airport Rd , S Burlington VT 05403-6432. He recently has only one registered license in Behavioral Health & Social Service Providers / Family, which is considered as his primary health care specialty. Wolak, Richard can be contacted via phone (802) 658-0040.

Contact Information

Primary practice address
30 Airport Rd S Burlington VT 05403-6432
Phone: (802) 658-0040
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Family 103TF0000X

Profile Details

NPI number 1952819567
LBN Legal business name Wolak, Richard
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2018
Last updated Jun 16th, 2018 - about 7 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 1952819567 NPPES
Other 12345 NA

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