Bronner, Elizabeth L

Bronner, Elizabeth L is an individual health care provider with primary practice located at 97 Salmon Brook St , Granby CT 06035-2607. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Bronner, Elizabeth L can be contacted via phone (860) 844-8912.

Contact Information

Primary practice address
97 Salmon Brook St Granby CT 06035-2607
Fax: (860) 844-8912
Website:

Profile Details

NPI number 1699793463
LBN Legal business name Bronner, Elizabeth L
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Nov 6th, 2013 - about 12 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 1699793463 NPPES
Connecticut Other 076572 MEDICARE GROUP ID
Connecticut Other XV2528 MEDICARE GROUP ID
Connecticut Other 7687681 MEDICARE GROUP ID
Connecticut Other 0010901 MEDICARE GROUP ID

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