Zoecklein, Evelyn
Zoecklein, Evelyn is an sole proprietor health care provider with primary practice located at 11 S Main St , Randolph VT 05060-1330. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Zoecklein, Evelyn can be contacted via phone (802) 728-4466.Contact Information
Primary practice address
11 S Main St
Randolph VT 05060-1330
Phone: (802) 728-4466
Fax: (802) 728-4197
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 068-0000607 | Vermont |
Profile Details
| NPI number | 1922165489 |
|---|---|
| LBN Legal business name | Zoecklein, Evelyn |
| Credentials | LCMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Aug 13th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922165489 | NPPES |
| Vermont | MEDICAID | 1009898 | |
| Vermont | Other | 2163465 | |
| Vermont | Other | 59560 | |
| Vermont | Other | 14Y001580VT01 |
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