Nowlan, Jeffery M

Nowlan, Jeffery M is an individual health care provider with primary practice located at 31 Elmwood Ave , Burlington VT 05401-4347. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Nowlan, Jeffery M can be contacted via phone (802) 864-7423.

Contact Information

Primary practice address
31 Elmwood Ave Burlington VT 05401-4347
Phone: (802) 864-7423
Fax: (802) 660-0576
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 104278 Vermont
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1598066722
LBN Legal business name Nowlan, Jeffery M
Credentials ADAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2010
Last updated Nov 4th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598066722 NPPES
Vermont Other 12165201 CAQH

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