Drozd, Ethan

Drozd, Ethan is an individual health care provider with primary practice located at 184 Front Ave , West Haven CT 06516-2836. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Drozd, Ethan can be contacted via phone (203) 781-4600.

Contact Information

Primary practice address
184 Front Ave West Haven CT 06516-2836
Phone: (203) 781-4600
Fax: (203) 781-4624
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2522 Connecticut

Profile Details

NPI number 1275953945
LBN Legal business name Drozd, Ethan
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2014
Last updated Feb 7th, 2017 - about 8 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 1275953945 NPPES
Connecticut Other 008050785 MEDICAID FOR ETHAN DRODZ

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