Abebe, Bisrat

Abebe, Bisrat is an individual health care provider with primary practice located at 336 N Main St , West Hartford CT 06117-2675. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Abebe, Bisrat can be contacted via phone (860) 696-4400.

Contact Information

Primary practice address
336 N Main St West Hartford CT 06117-2675
Phone: (860) 696-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 10900 Connecticut

Profile Details

NPI number 1649336652
LBN Legal business name Abebe, Bisrat
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Feb 17th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649336652 NPPES
Connecticut Other 10900 CT LICENSE

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