National Provider Identifier Database

JOHNSON STATE COLLEGE
Student Health


Contact Information

JOHNSON STATE COLLEGE
337 COLLEGE HL
JOHNSON, VT05656-9741
Phone: 802-635-1265
Fax:
Website:
Specialty Taxonomy Code
* Student Health 261QS1000X

* Indicates primary specialty

NPI Profile & details for JOHNSON STATE COLLEGE

NPI Number 1871719781
Legal business name
LBN
JOHNSON STATE COLLEGE
Authorized official JEAN CASS - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 04/18/2007
Last updated 10/26/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • VT Medicaid: 1005879
  • VT Other: 00028275 BCBS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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