Malm, Pavel
Malm, Pavel is an sole proprietor health care provider with primary practice located at 124 E Main St Ste 2 , Newport VT 05855-5561. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Malm, Pavel can be contacted via phone (802) 327-0077.Contact Information
Primary practice address
124 E Main St Ste 2
Newport VT 05855-5561
Phone: (802) 327-0077
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0680000594 | Vermont |
Profile Details
| NPI number | 1154425296 |
|---|---|
| LBN Legal business name | Malm, Pavel |
| Credentials | LCMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 11th, 2006 |
| Last updated | May 18th, 2021 - about 5 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 | 1154425296 | NPPES |
| Vermont | Other | 59161 | BCBS |
| Vermont | MEDICAID | 1009126 | BCBS |
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