Lacoste, Elvis

Lacoste, Elvis is an individual health care provider with primary practice located at 135 Granger St , Rutland VT 05701-4405. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Lacoste, Elvis can be contacted via phone (802) 747-3588.

Contact Information

Primary practice address
135 Granger St Rutland VT 05701-4405
Phone: (802) 747-3588
Fax: (802) 747-7699
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1510127405 Vermont

Profile Details

NPI number 1568987907
LBN Legal business name Lacoste, Elvis
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2017
Last updated Aug 7th, 2017 - about 9 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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