Cloud-Ingram, Autumn
Cloud-Ingram, Autumn is an sole proprietor health care provider with primary practice located at 932 Litchfield Tpke , Bethany CT 06524-3019. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cloud-Ingram, Autumn can be contacted via phone (203) 390-0070.Contact Information
Primary practice address
932 Litchfield Tpke
Bethany CT 06524-3019
Phone: (203) 390-0070
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 11955 | Connecticut |
Profile Details
NPI number | 1396405585 |
---|---|
LBN Legal business name | Cloud-Ingram, Autumn |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 29th, 2021 |
Last updated | Dec 29th, 2021 - 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.
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