Vandermark, Ethan Keyes
Vandermark, Ethan Keyes is an sole proprietor health care provider with primary practice located at 113 Market St Apt. 2, Northampton MA 01060-3211. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Vandermark, Ethan Keyes can be contacted via phone (603) 502-3714.Contact Information
Primary practice address
113 Market St Apt. 2
Northampton MA 01060-3211
Phone: (603) 502-3714
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1710389556 |
|---|---|
| LBN Legal business name | Vandermark, Ethan Keyes |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 24th, 2014 |
| Last updated | Oct 17th, 2014 - about 12 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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