Kelloway, Laura
Kelloway, Laura is an individual health care provider with primary practice located at Anna Marsh Lane , Brattleboro VT 05301. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kelloway, Laura can be contacted via phone (802) 257-7785.Contact Information
Primary practice address
Anna Marsh Lane
Brattleboro VT 05301
Phone: (802) 257-7785
Fax: (802) 258-3798
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 089-0000805 | Vermont |
Profile Details
| NPI number | 1861692303 |
|---|---|
| LBN Legal business name | Kelloway, Laura |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 23rd, 2007 |
| Last updated | Jul 23rd, 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 | 1861692303 | NPPES |
| Vermont | MEDICAID | 1009256 |
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