Derby, Ellen
Derby, Ellen is an individual health care provider with primary practice located at 9 Vose Farm Rd Suite 120, Peterborough NH 03458-2154. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Derby, Ellen can be contacted via phone (603) 924-7236.Contact Information
Primary practice address
9 Vose Farm Rd Suite 120
Peterborough NH 03458-2154
Phone: (603) 924-7236
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1235335654 |
|---|---|
| LBN Legal business name | Derby, Ellen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2007 |
| Last updated | Jul 23rd, 2009 - about 16 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 | 1235335654 | NPPES |
| New Hampshire | MEDICAID | 81263595 |
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