Crespo, Elba Iris

Crespo, Elba Iris is an sole proprietor health care provider with primary practice located at 77 Eric St , Bridgeport CT 06606-3118. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Crespo, Elba Iris can be contacted via phone (203) 374-9868.

Contact Information

Primary practice address
77 Eric St Bridgeport CT 06606-3118
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 002555 Connecticut

Profile Details

NPI number 1669528774
LBN Legal business name Crespo, Elba Iris
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 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 1669528774 NPPES
Connecticut Other 060002555CT01 ANTHEM BC
Connecticut Other 330606 ANTHEM BC

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