Xippolitos, Edward George
Xippolitos, Edward George is an sole proprietor health care provider with primary practice located at 7205 Main St Suite #3, Manchester Center VT 05255-9312. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Xippolitos, Edward George can be contacted via phone (802) 366-9122.Contact Information
Primary practice address
7205 Main St Suite #3
Manchester Center VT 05255-9312
Phone: (802) 366-9122
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 002612 | Connecticut |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0859 | Vermont |
Profile Details
| NPI number | 1699869669 |
|---|---|
| LBN Legal business name | Xippolitos, Edward George |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1699869669 | NPPES |
| Vermont | MEDICAID | 1011379 |
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