Eliscu, David

Eliscu, David is an sole proprietor health care provider with primary practice located at 200 Orchard Street, Suite 301 Scranton Professional Center, New Haven CT 06511. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Eliscu, David can be contacted via phone (203) 848-0606.

Contact Information

Primary practice address
200 Orchard Street, Suite 301 Scranton Professional Center New Haven CT 06511
Phone: (203) 848-0606
Fax: (203) 624-6738
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 004902 Connecticut
Behavioral Health & Social Service Providers / Clinical 1041C0700X 004902 Connecticut

Profile Details

NPI number 1760449318
LBN Legal business name Eliscu, David
Credentials MS, MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2006
Last updated Mar 26th, 2013 - about 11 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 1760449318 NPPES
Colorado Other 00424565200 BC FAMILY PLAN
Colorado Other 140004902CT01 BC FAMILY PLAN
Colorado Other 140004902CT04 BC FAMILY PLAN

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