Ewing, Laura

Ewing, Laura is an individual health care provider with primary practice located at 400 Columbus Ave , New Haven CT 06519-1233. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Ewing, Laura can be contacted via phone (203) 503-3250.

Contact Information

Primary practice address
400 Columbus Ave New Haven CT 06519-1233
Phone: (203) 503-3250
Fax: (203) 503-3297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 004820 Connecticut

Profile Details

NPI number 1790828150
LBN Legal business name Ewing, Laura
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 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 1790828150 NPPES
Connecticut MEDICAID 0040399533

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