Alviso, Ermelinda Elaine

Alviso, Ermelinda Elaine is an sole proprietor health care provider with primary practice located at Trout Ave , Groton CT 06340. She recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as her primary health care specialty. Alviso, Ermelinda Elaine can be contacted via phone (860) 694-2876.

Contact Information

Primary practice address
Trout Ave Groton CT 06340
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1295393692
LBN Legal business name Alviso, Ermelinda Elaine
Credentials IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2019
Last updated May 31st, 2019 - about 5 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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