Beatty, Glenn Joseph
Beatty, Glenn Joseph is an individual health care provider with primary practice located at 351 North Ave Burlington , Burlington VT 05401. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Beatty, Glenn Joseph can be contacted via phone (802) 658-6110.Contact Information
Primary practice address
351 North Ave Burlington
Burlington VT 05401
Phone: (802) 658-6110
Fax: (802) 860-0451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 0890000229 | Vermont |
Profile Details
| NPI number | 1700892114 |
|---|---|
| LBN Legal business name | Beatty, Glenn Joseph |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1700892114 | NPPES |
| Vermont | MEDICAID | 1008247 |
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