Lydem, Mary Ellen
Lydem, Mary Ellen is an sole proprietor health care provider with primary practice located at 4 Berkshire Blvd , Bethel CT 06801-1001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Lydem, Mary Ellen can be contacted via phone (203) 826-3159.Contact Information
Primary practice address
4 Berkshire Blvd
Bethel CT 06801-1001
Phone: (203) 826-3159
Fax: (203) 775-6810
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 001563 | Connecticut |
Profile Details
| NPI number | 1255514758 |
|---|---|
| LBN Legal business name | Lydem, Mary Ellen |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 7th, 2007 |
| Last updated | Dec 7th, 2007 - about 18 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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