Shander, Ellyn Sue
Shander, Ellyn Sue is an sole proprietor health care provider with primary practice located at 1933 Long Ridge Rd , Stamford CT 06903-3201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Shander, Ellyn Sue can be contacted via phone (203) 595-9205.Contact Information
Primary practice address
1933 Long Ridge Rd
Stamford CT 06903-3201
Phone: (203) 595-9205
Fax: (203) 329-8011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME159598 | Florida |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 024821 | Connecticut |
Profile Details
| NPI number | 1134278500 |
|---|---|
| LBN Legal business name | Shander, Ellyn Sue |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Jun 25th, 2024 - about last year |
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 | 1134278500 | NPPES |
| Connecticut | Other | 024821 | MEDICAL LICENSE |
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