Eiswirth, Nancy A

Eiswirth, Nancy A is an sole proprietor health care provider with primary practice located at 664 Prospect Avenue , Hartford CT 06105. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Eiswirth, Nancy A can be contacted via phone (860) 236-8087.

Contact Information

Primary practice address
664 Prospect Avenue Hartford CT 06105
Phone: (860) 236-8087
Fax: (860) 586-7422
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1149 Connecticut
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 1149 Connecticut

Profile Details

NPI number 1518981356
LBN Legal business name Eiswirth, Nancy A
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Jul 8th, 2007 - about 19 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 1518981356 NPPES
Connecticut Other 060001149CT05 ANTHEM BLUE CROSS BLUE SH
Connecticut Other P383627 ANTHEM BLUE CROSS BLUE SH

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