O'Neill, Ellen Ann

O'Neill, Ellen Ann is an individual health care provider with primary practice located at 714 Bergen Ave , Jersey City NJ 07306-4802. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. O'Neill, Ellen Ann can be contacted via phone (201) 434-7906.

Contact Information

Primary practice address
714 Bergen Ave Jersey City NJ 07306-4802
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 25ME00012001 New Jersey

Profile Details

NPI number 1114036803
LBN Legal business name O'Neill, Ellen Ann
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jul 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114036803 NPPES
New Jersey MEDICAID 1479601

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