Davis, Richard W.
Davis, Richard W. is an individual health care provider with primary practice located at 92 Adams St , Burlington VT 05401-4525. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Davis, Richard W. can be contacted via phone (802) 863-6114.Contact Information
Primary practice address
92 Adams St
Burlington VT 05401-4525
Phone: (802) 863-6114
Fax: (802) 496-6955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 048-0000579 | Vermont |
Profile Details
| NPI number | 1194703868 |
|---|---|
| LBN Legal business name | Davis, Richard W. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Jul 9th, 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 | 1194703868 | NPPES |
| Vermont | MEDICAID | 0VN-0624 |
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