Birch, Jeremy Dixon
Birch, Jeremy Dixon is an sole proprietor health care provider with primary practice located at 73 Main St , Brattleboro VT 05301-3909. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Birch, Jeremy Dixon can be contacted via phone (802) 257-9468.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 048-0000049 | Vermont |
Profile Details
| NPI number | 1053482638 |
|---|---|
| LBN Legal business name | Birch, Jeremy Dixon |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 13th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053482638 | NPPES |
| Vermont | MEDICAID | 0006514 |
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