Ellis, Samantha
Ellis, Samantha is an individual health care provider with primary practice located at 487 Center St , Manchester CT 06040-3982. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Ellis, Samantha can be contacted via phone (860) 432-8775.Contact Information
Primary practice address
487 Center St
Manchester CT 06040-3982
Phone: (860) 432-8775
Fax: (860) 432-8581
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1861861429 |
|---|---|
| LBN Legal business name | Ellis, Samantha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 24th, 2015 |
| Last updated | Sep 10th, 2018 - about 6 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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