Kirschblum, Elyse

Kirschblum, Elyse is an individual health care provider with primary practice located at 36 Watson St , Willimantic CT 06226-2122. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Kirschblum, Elyse can be contacted via phone (860) 456-0287.

Contact Information

Primary practice address
36 Watson St Willimantic CT 06226-2122
Phone: (860) 456-0287
Fax: (860) 456-3532
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 000208 Connecticut
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 000208 Connecticut

Profile Details

NPI number 1316015464
LBN Legal business name Kirschblum, Elyse
Credentials MA CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Feb 22nd, 2018 - about 6 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 1316015464 NPPES
Connecticut MEDICAID 1316015464

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