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
Fax: (888) 690-0088
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972811859 NPPES
Connecticut Other 00345 STATE CNM LICENSE
Connecticut MEDICAID 008023951 STATE CNM LICENSE

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