Horwitz, Ellen A

Horwitz, Ellen A is an individual health care provider with primary practice located at 402 N Keene St Ste 101, Columbia MO 65201-6986. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Horwitz, Ellen A can be contacted via phone (573) 882-6921.

Contact Information

Primary practice address
402 N Keene St Ste 101 Columbia MO 65201-6986
Fax: (573) 882-1154
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY01213 Missouri

Profile Details

NPI number 1093769705
LBN Legal business name Horwitz, Ellen A
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Aug 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093769705 NPPES
Missouri Other 7504019 UNITED HEALTHCARE
Missouri Other 7460 UNITED HEALTHCARE
Missouri Other 259936 UNITED HEALTHCARE
Missouri MEDICAID 493396303 UNITED HEALTHCARE

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