Ison, Elizabeth Bogardus

Ison, Elizabeth Bogardus is an individual health care provider with primary practice located at 24 Salt Pond Road Ste D4, Wakefield RI 02879. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Ison, Elizabeth Bogardus can be contacted via phone (401) 789-3694.

Contact Information

Primary practice address
24 Salt Pond Road Ste D4 Wakefield RI 02879
Phone: (401) 789-3694
Fax: (401) 789-3748
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X ISW01309 Rhode Island

Profile Details

NPI number 1730196403
LBN Legal business name Ison, Elizabeth Bogardus
Credentials LICSW SOCIAL WORKER
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
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 1730196403 NPPES
Rhode Island Other 263186 RI BLUE CROSS
Rhode Island MEDICAID EI41628 RI BLUE CROSS

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