Active NPIIndividual provider

Per O Eisenman

Counselor, Mental Health in Middlebury, Vermont

NPI Number1104565985
Practice location
67 Catamount Park, Middlebury, VT 05753-1397
Fax
802-388-8183
Last updated
July 19, 2022

Per Ordal Eisenman is a Counselor, Mental Health based in Middlebury, VT. Per Ordal Eisenman practices in Middlebury, VT. The NPI Number for Per Ordal Eisenman is 1104565985 and holds a License No. 0680134620 (VT). The current practice location address for Per Ordal Eisenman is 67 Catamount Park, Middlebury, VT 05753-1397 and can be reached out via phone at 802-388-6751 and via fax at 802-388-8183.

Provider Profile Details

NPI Number
1104565985
Provider Name
Per Ordal Eisenman
Provider Entity Type
Individual
Gender
Male
Address
67 Catamount Park, Middlebury, VT 05753-1397
Phone Number
802-388-6751
Fax Number
802-388-8183
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
June 1, 2022
Last Update Date
July 19, 2022
Certification Date
July 19, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
67 Catamount Park
Middlebury, VT 05753-1397
State
Vermont
Zip
05753-1397
Phone Number
802-388-6751
Fax Number
802-388-8183
Middlebury, VT 05753Get directions →

Provider Business Mailing Address Details

Address
89 Main St
Middlebury, VT 05753-1483
City
Middlebury
State
VT
Zip
05753-1483
Phone Number
802-388-6751
Fax Number
802-388-8183

License Information

License Number
0680134620
License State
VT
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Per O Eisenman?

The NPI number of Per O Eisenman is 1104565985. It was assigned on June 1, 2022 and is currently active in the NPPES registry.

What is the specialty of Per O Eisenman?

Per O Eisenman is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in VT under license number 0680134620.

Where does Per O Eisenman practice?

The practice location is 67 Catamount Park, Middlebury, VT 05753-1397. The office can be reached at 802-388-6751 (phone) or 802-388-8183 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104565985 directly on the NPPES registry website.

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