Ellison, Casey Lynn
Ellison, Casey Lynn is an sole proprietor health care provider with primary practice located at 174 River St Suite 102, Montpelier VT 05602-3827. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Ellison, Casey Lynn can be contacted via phone (802) 505-0597.Contact Information
Primary practice address
174 River St Suite 102
Montpelier VT 05602-3827
Phone: (802) 505-0597
Fax: (707) 440-4703
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Naturopath | 175F00000X | ||
| Other Service Providers / Naturopath | 175F00000X | 099.0060043 | Vermont |
Profile Details
| NPI number | 1881920965 |
|---|---|
| LBN Legal business name | Ellison, Casey Lynn |
| Credentials | ND |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2009 |
| Last updated | Oct 25th, 2011 - about 13 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 | 1881920965 | NPPES |
| Vermont | MEDICAID | 1017048 |
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