Black, Paul
Black, Paul is an individual health care provider with primary practice located at 78 S Main St , Rutland VT 05701-4594. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Black, Paul can be contacted via phone (802) 770-5418.Contact Information
Primary practice address
78 S Main St
Rutland VT 05701-4594
Phone: (802) 770-5418
Fax: (802) 747-7699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0680127083 | Vermont |
Profile Details
| NPI number | 1104446897 |
|---|---|
| LBN Legal business name | Black, Paul |
| Credentials | LCMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2020 |
| Last updated | Apr 22nd, 2020 - about 6 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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