Brzezinski, Ronnie Israelson
Brzezinski, Ronnie Israelson is an sole proprietor health care provider with primary practice located at 355 Highland Ave Suite 101, Cheshire CT 06410-2551. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brzezinski, Ronnie Israelson can be contacted via phone (860) 628-9259.Contact Information
Primary practice address
355 Highland Ave Suite 101
Cheshire CT 06410-2551
Phone: (860) 628-9259
Fax: (860) 628-7674
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 839 | Connecticut |
Profile Details
| NPI number | 1104936814 |
|---|---|
| LBN Legal business name | Brzezinski, Ronnie Israelson |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1104936814 | NPPES |
| Connecticut | Other | P400574 | OXFORD |
| Connecticut | Other | 140000839CT01 | OXFORD |
| Connecticut | Other | 7496215 | OXFORD |
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