Anderson, Glorimar
Anderson, Glorimar is an individual health care provider with primary practice located at 314 Flanders Rd Ste 2D , East Lyme CT 06333-1727. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Anderson, Glorimar can be contacted via phone (860) 514-1935.Contact Information
Primary practice address
314 Flanders Rd Ste 2D
East Lyme CT 06333-1727
Phone: (860) 514-1935
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 10248 | Connecticut |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 3419 | Connecticut |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 010248 | Connecticut |
Profile Details
| NPI number | 1417469446 |
|---|---|
| LBN Legal business name | Anderson, Glorimar |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2017 |
| Last updated | May 1st, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417469446 | NPPES |
| Connecticut | Other | 010248 | STATE OF CONNECTICUT DPH |
| Connecticut | Other | 3419 | STATE OF CONNECTICUT DPH |
| Connecticut | Other | 10248 | STATE OF CONNECTICUT DPH |
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