Osborne, Kathryn C. Stackpole
Osborne, Kathryn C. Stackpole is an sole proprietor health care provider with primary practice located at 111 Main St , Hyde Park VT 05655. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Osborne, Kathryn C. Stackpole can be contacted via phone (802) 888-6215.Contact Information
Primary practice address
111 Main St
Hyde Park VT 05655
Phone: (802) 888-6215
Fax: (802) 888-9474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 089000725 | Vermont |
Profile Details
| NPI number | 1265551147 |
|---|---|
| LBN Legal business name | Osborne, Kathryn C. Stackpole |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2007 |
| Last updated | Oct 1st, 2012 - about 14 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 | 1265551147 | NPPES |
| Vermont | MEDICAID | 1008174 | |
| Vermont | Other | 58556 |
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