Sollazzo, Ellen Louise

Sollazzo, Ellen Louise is an individual health care provider with primary practice located at 21 Montauk Ave , New London CT 06320-4906. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Sollazzo, Ellen Louise can be contacted via phone (860) 439-6400.

Contact Information

Primary practice address
21 Montauk Ave New London CT 06320-4906
Phone: (860) 439-6400
Fax: (860) 333-1390
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 006157 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 006157 Connecticut

Profile Details

NPI number 1821464017
LBN Legal business name Sollazzo, Ellen Louise
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2015
Last updated Aug 8th, 2018 - about 6 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 1821464017 NPPES
Connecticut Other 006157 CT LICENSE

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