Ellery, Nancy Jean

Ellery, Nancy Jean is an sole proprietor health care provider with primary practice located at 64 Allen St , Rutland VT 05701-4554. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Ellery, Nancy Jean can be contacted via phone (802) 747-7296.

Contact Information

Primary practice address
64 Allen St Rutland VT 05701-4554
Phone: (802) 747-7296
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 089-0000259 Vermont

Profile Details

NPI number 1528141967
LBN Legal business name Ellery, Nancy Jean
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2006
Last updated Jun 15th, 2012 - about 12 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 1528141967 NPPES
Vermont MEDICAID 0VN1157
Vermont Other 18144

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