Detwiler, Elizabeth Ann
Detwiler, Elizabeth Ann is an individual health care provider with primary practice located at 28 Balaton Ave , Ronkonkoma NY 11779-1702. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Detwiler, Elizabeth Ann can be contacted via phone (631) 580-7777.Contact Information
Primary practice address
28 Balaton Ave
Ronkonkoma NY 11779-1702
Phone: (631) 580-7777
Fax: (631) 580-7773
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | T 20296 | New York |
Profile Details
| NPI number | 1538453477 |
|---|---|
| LBN Legal business name | Detwiler, Elizabeth Ann |
| Credentials | CASAC-T |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2011 |
| Last updated | Jun 8th, 2011 - about 13 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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