Coffey, Eleanor D

Coffey, Eleanor D is an individual health care provider with primary practice located at 37 South Main St , Hanover NH 03755. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Coffey, Eleanor D can be contacted via phone (603) 643-1260.

Contact Information

Primary practice address
37 South Main St Hanover NH 03755
Fax: (603) 643-1260
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 13LICSW New Hampshire

Profile Details

NPI number 1053463026
LBN Legal business name Coffey, Eleanor D
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053463026 NPPES
New Hampshire Other 14Y010668NH01 ANTHEM BL CROS BL SHIEL
New Hampshire Other 7482982 ANTHEM BL CROS BL SHIEL
New Hampshire MEDICAID 80001299 ANTHEM BL CROS BL SHIEL

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