Killingsworth, Michelle E
Killingsworth, Michelle E is an individual health care provider with primary practice located at 87 Church St Suite 204, East Hartford CT 06108-3720. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Killingsworth, Michelle E can be contacted via phone (888) 607-0047.Contact Information
Primary practice address
87 Church St Suite 204
East Hartford CT 06108-3720
Phone: (888) 607-0047
Fax: (888) 690-0088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | 00345 | Connecticut |
Profile Details
| NPI number | 1972811859 |
|---|---|
| LBN Legal business name | Killingsworth, Michelle E |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2010 |
| Last updated | Feb 10th, 2015 - about 9 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 | 1972811859 | NPPES |
| Connecticut | Other | 00345 | STATE CNM LICENSE |
| Connecticut | MEDICAID | 008023951 | STATE CNM LICENSE |
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