Woodruff, Myra Elaine
Woodruff, Myra Elaine is an sole proprietor health care provider with primary practice located at 3 Main St Suite 216, Burlington VT 05401-5216. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Woodruff, Myra Elaine can be contacted via phone (802) 651-2318.Contact Information
Primary practice address
3 Main St Suite 216
Burlington VT 05401-5216
Phone: (802) 651-2318
Fax: (801) 899-4880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0890000919 | Vermont |
Profile Details
| NPI number | 1346288909 |
|---|---|
| LBN Legal business name | Woodruff, Myra Elaine |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Feb 2nd, 2008 - about 17 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 | 1346288909 | NPPES |
| Vermont | MEDICAID | 1009230 |
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