Ambrose, Joseph

Ambrose, Joseph is an individual health care provider with primary practice located at 324 French St , Watertown CT 06795-2929. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Ambrose, Joseph can be contacted via phone (860) 417-7194.

Contact Information

Primary practice address
324 French St Watertown CT 06795-2929
Phone: (860) 417-7194
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 6795487707 Connecticut

Profile Details

NPI number 1952860231
LBN Legal business name Ambrose, Joseph
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2019
Last updated Mar 18th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952860231 NPPES
Connecticut MEDICAID 6795487707

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