Lidz, Christine
Lidz, Christine is an sole proprietor health care provider with primary practice located at 1641 Durham Rd , Guilford CT 06437-1639. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lidz, Christine can be contacted via phone (203) 671-4402.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 001787 | Connecticut |
Profile Details
| NPI number | 1982621744 |
|---|---|
| LBN Legal business name | Lidz, Christine |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Feb 23rd, 2022 - about 2 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 | 1982621744 | NPPES |
| Connecticut | Other | 140001787CT01 | ANTHEM PROVIDER NUMBER |
| Connecticut | Other | 191083 | ANTHEM PROVIDER NUMBER |
| Connecticut | MEDICAID | 004039244 | ANTHEM PROVIDER NUMBER |
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