Brito, Eileen
Brito, Eileen is an sole proprietor health care provider with primary practice located at 745 Main St Ste 204 , Stroudsburg PA 18360-2060. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brito, Eileen can be contacted via phone (570) 994-2664.Contact Information
Primary practice address
745 Main St Ste 204
Stroudsburg PA 18360-2060
Phone: (570) 994-2664
Fax: (570) 694-6694
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW015646 | Pennsylvania |
Profile Details
| NPI number | 1457555724 |
|---|---|
| LBN Legal business name | Brito, Eileen |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2007 |
| Last updated | Feb 8th, 2022 - about 2 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 | 1457555724 | NPPES |
| Pennsylvania | Other | 317284ZH4 | MEDICARE PTAN |
| Pennsylvania | MEDICAID | 1029180700001 | MEDICARE PTAN |
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