Shekosky, Eileen L.

Shekosky, Eileen L. is an individual health care provider with primary practice located at 770 Saybrook Rd Bldg B, Middletown CT 06457-4739. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Shekosky, Eileen L. can be contacted via phone (860) 343-5388.

Contact Information

Primary practice address
770 Saybrook Rd Bldg B Middletown CT 06457-4739
Phone: (860) 343-5388
Fax: (860) 343-5391
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 001420 Connecticut

Profile Details

NPI number 1154307668
LBN Legal business name Shekosky, Eileen L.
Credentials LCSW/MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Jul 8th, 2007 - about 17 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 1154307668 NPPES
Connecticut Other 768882 CTCARE
Connecticut Other 140001420CT01 CTCARE
Connecticut Other 11244569 CTCARE
Connecticut Other 211825 CTCARE
Connecticut Other 56140001420CT1 CTCARE

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