Grimm, John W
Grimm, John W is an individual health care provider with primary practice located at 1025 Airport Dr , South Burlington VT 05403-6013. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Grimm, John W can be contacted via phone (802) 488-7711.Contact Information
Primary practice address
1025 Airport Dr
South Burlington VT 05403-6013
Phone: (802) 488-7711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 089-0000937 | Vermont |
Profile Details
| NPI number | 1275690158 |
|---|---|
| LBN Legal business name | Grimm, John W |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | May 11th, 2011 - about 15 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 | 1275690158 | NPPES |
| Vermont | MEDICAID | 1014186 |
Popular Providers
-
Griswold, Elizabeth
3000 Williston Rd , South Burlington VT 05403 -
Zimmerman, Callia Emily Lapin
56 W Twin Oaks Ter Ste 3 , South Burlington VT 05403-7138 -
Hoar, Katherine Mclean
54 W Twin Oaks Ter Unit 12, Suite 5, South Burlington VT 05403-7140 -
Mulder-Seel, Tess
75 San Remo Dr , South Burlington VT 05403-6385 -
Raff, Erica
N4 Stonehedge Dr , South Burlington VT 05403-7383 -
Daley, Jennifer Katherine
1 Kennedy Dr Ste L5 , South Burlington VT 05403-7165 -
Howe, Katy
27 Rye Cir , South Burlington VT 05403-7632 -
Guyette, Joanna
1233 Shelburne Rd Ste C4 , South Burlington VT 05403-7780