Eller, Sandra Jane

Eller, Sandra Jane is an sole proprietor health care provider with primary practice located at 200 White Spruce Blvd , Rochester NY 14623-1605. 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. Eller, Sandra Jane can be contacted via phone (585) 427-0270.

Contact Information

Primary practice address
200 White Spruce Blvd Rochester NY 14623-1605
Phone: (585) 427-0270
Fax: (585) 427-0270
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 7743-1 New York
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 7743-1 New York

Profile Details

NPI number 1255482766
LBN Legal business name Eller, Sandra Jane
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2007
Last updated Jul 8th, 2007 - about 17 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 1255482766 NPPES
New York Other 73334000 AETNA

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