Ellsworth, Beth

Ellsworth, Beth is an individual health care provider with primary practice located at 85 Middle Rd , Cumberland ME 04021-3707. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Ellsworth, Beth can be contacted via phone (207) 829-8007.

Contact Information

Primary practice address
85 Middle Rd Cumberland ME 04021-3707
Fax: (207) 829-8008
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP667 Maine

Profile Details

NPI number 1083836548
LBN Legal business name Ellsworth, Beth
Credentials M.A., CCC, SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 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 1083836548 NPPES
Maine MEDICAID 23494099

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