Ellington, Rita Marie
Ellington, Rita Marie is an sole proprietor health care provider with primary practice located at 3100 S Cushman St , Fairbanks AK 99701-7516. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Ellington, Rita Marie can be contacted via phone (907) 452-6251.Contact Information
Primary practice address
3100 S Cushman St
Fairbanks AK 99701-7516
Phone: (907) 452-6251
Fax: (907) 456-4849
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CDCS 2376 | Alaska |
Profile Details
| NPI number | 1952529679 |
|---|---|
| LBN Legal business name | Ellington, Rita Marie |
| Credentials | PSY.D., CDCS, ADMN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952529679 | NPPES |
| Alaska | Other | 2376 | ALASKA CDCS CERTIFICATION |
| Alaska | Other | 1116 | ALASKA CDCS CERTIFICATION |
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