Chapman, Clara Fellows
Chapman, Clara Fellows is an sole proprietor health care provider with primary practice located at 80 S Main St , Middletown CT 06457-3648. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Chapman, Clara Fellows can be contacted via phone (860) 346-7879.Contact Information
Primary practice address
80 S Main St
Middletown CT 06457-3648
Phone: (860) 346-7879
Fax: (860) 344-1301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 000490 | Connecticut |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 000490 | Connecticut |
Profile Details
| NPI number | 1508942145 |
|---|---|
| LBN Legal business name | Chapman, Clara Fellows |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508942145 | NPPES |
| Connecticut | Other | 060000490CT05 | BLUE CROSS/BLUE SHIELD |
| Connecticut | Other | 080002 | BLUE CROSS/BLUE SHIELD |
| Connecticut | Other | C013962 | BLUE CROSS/BLUE SHIELD |
| Connecticut | Other | MIS009 | BLUE CROSS/BLUE SHIELD |
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