Gundersen, David

Gundersen, David is an individual health care provider with primary practice located at 78 S Main St , Rutland VT 05701-4594. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Gundersen, David can be contacted via phone (802) 417-9048.

Contact Information

Primary practice address
78 S Main St Rutland VT 05701-4594
Phone: (802) 417-9048
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X New York

Profile Details

NPI number 1235905415
LBN Legal business name Gundersen, David
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2023
Last updated Oct 10th, 2024 - about 2 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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