Epstein, Ellen
Epstein, Ellen is an sole proprietor health care provider with primary practice located at 1205 E Maxwell Ln , Bloomington IN 47401-5073. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Epstein, Ellen can be contacted via phone (812) 333-4120.Contact Information
Primary practice address
1205 E Maxwell Ln
Bloomington IN 47401-5073
Phone: (812) 333-4120
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34001353A | Indiana |
Profile Details
| NPI number | 1659344604 |
|---|---|
| LBN Legal business name | Epstein, Ellen |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Jun 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659344604 | NPPES |
| Indiana | Other | 000000208802 | ANTHEM |
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