Fahey, Ellen M

Fahey, Ellen M is an individual health care provider with primary practice located at 40 Cross St , Norwalk CT 06851-4647. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Fahey, Ellen M can be contacted via phone (203) 229-2000.

Contact Information

Primary practice address
40 Cross St Norwalk CT 06851-4647
Phone: (203) 229-2000
Fax: (203) 840-9001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 003297 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 003297 Connecticut

Profile Details

NPI number 1831219294
LBN Legal business name Fahey, Ellen M
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2007
Last updated Jan 25th, 2017 - about 7 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 1831219294 NPPES
Connecticut MEDICAID 08047561

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