Corcoran, Dean Mark
Corcoran, Dean Mark is an sole proprietor health care provider with primary practice located at 220 Railroad Street , St. Johnsbury VT 05819. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Corcoran, Dean Mark can be contacted via phone (802) 748-1516.Contact Information
Primary practice address
220 Railroad Street
St. Johnsbury VT 05819
Phone: (802) 748-1516
Fax: (802) 748-1516
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 068-0000422 | Vermont |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 000053 | Vermont |
Profile Details
| NPI number | 1740382043 |
|---|---|
| LBN Legal business name | Corcoran, Dean Mark |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 5th, 2006 |
| Last updated | Dec 9th, 2015 - about 10 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 | 1740382043 | NPPES |
| Vermont | MEDICAID | 1007051 |
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