Anderson, Beth Ellen

Anderson, Beth Ellen is an sole proprietor health care provider with primary practice located at 632 King St Bristol Extended Day Program, Bristol CT 06010-9202. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Anderson, Beth Ellen can be contacted via phone (860) 584-3891.

Contact Information

Primary practice address
632 King St Bristol Extended Day Program Bristol CT 06010-9202
Fax: (860) 584-3893
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1386802346
LBN Legal business name Anderson, Beth Ellen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2008
Last updated May 27th, 2008 - about 17 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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