- Practice location
- 100 Hospitality Drive, Berlin, VT 05641
- Phone
- 802-223-4156
- Fax
- 802-223-4332
- Last updated
- October 24, 2016
Glenn Bomberger is a Counselor, Addiction (Substance Use Disorder) based in Berlin, VT. Glenn Bomberger practices in Berlin, VT and has the professional credentials of LADC. The NPI Number for Glenn Bomberger is 1497206585 and holds a License No. 151.0124410 (VT). The current practice location address for Glenn Bomberger is 100 Hospitality Drive, Berlin, VT 05641 and can be reached out via phone at 802-223-4156 and via fax at 802-223-4332.
Provider Profile Details
- NPI Number
- 1497206585
- Provider Name
- Glenn Bomberger
- Credential
- LADC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 100 Hospitality Drive, Berlin, VT 05641
- Phone Number
- 802-223-4156
- Fax Number
- 802-223-4332
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 24, 2016
- Last Update Date
- October 24, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Hospitality Drive
Berlin, VT 05641 - City
- Berlin
- State
- Vermont
- Zip
- 05641
- Phone Number
- 802-223-4156
- Fax Number
- 802-223-4332
Provider Business Mailing Address Details
- Address
- Po Box G
Randolph, VT 05060-0167 - City
- Randolph
- State
- VT
- Zip
- 05060-0167
- Phone Number
- 802-728-4466
- Fax Number
- 802-728-4197
License Information
- License Number
- 151.0124410
- License State
- VT
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Addiction (Substance Use Disorder) providers near Berlin, VT
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Frequently Asked Questions
What is the NPI number of Glenn Bomberger, LADC?
The NPI number of Glenn Bomberger, LADC is 1497206585. It was assigned on October 24, 2016 and is currently active in the NPPES registry.
What is the specialty of Glenn Bomberger, LADC?
Glenn Bomberger, LADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in VT under license number 151.0124410.
Where does Glenn Bomberger, LADC practice?
The practice location is 100 Hospitality Drive, Berlin, VT 05641. The office can be reached at 802-223-4156 (phone) or 802-223-4332 (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 1497206585 directly on the NPPES registry website.