Klein-South, Ellen Margo
Klein-South, Ellen Margo is an sole proprietor health care provider with primary practice located at 3881 Ne Sugarhill Ave , Jensen Beach FL 34957-3731. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Klein-South, Ellen Margo can be contacted via phone (772) 334-4035.Contact Information
Primary practice address
3881 Ne Sugarhill Ave
Jensen Beach FL 34957-3731
Phone: (772) 334-4035
Fax: (772) 334-4036
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / School | 103TS0200X | SS0000535 | Florida |
Profile Details
NPI number | 1679872394 |
---|---|
LBN Legal business name | Klein-South, Ellen Margo |
Credentials | M.S. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 21st, 2011 |
Last updated | Mar 21st, 2011 - about 14 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 | 1679872394 | NPPES |
Florida | Other | Z127B | BLUE CROSS/ BLUE SHIELD INSURANCE |
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