Wuesthoff, Alicia Marie

Wuesthoff, Alicia Marie is an sole proprietor health care provider with primary practice located at 5 Court St , Rutland VT 05701-4034. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wuesthoff, Alicia Marie can be contacted via phone (802) 775-5190.

Contact Information

Primary practice address
5 Court St Rutland VT 05701-4034
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0890000075 Vermont

Profile Details

NPI number 1649399312
LBN Legal business name Wuesthoff, Alicia Marie
Credentials M.S.W.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2007
Last updated Jul 8th, 2007 - about 18 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 1649399312 NPPES
Vermont Other 00029288 BCBS PF VT

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