Stickney, Ellen
Stickney, Ellen is an individual health care provider with primary practice located at 1835 Miracle Mile , Springfield OH 45503-2807. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Stickney, Ellen can be contacted via phone (937) 390-7960.Contact Information
Primary practice address
1835 Miracle Mile
Springfield OH 45503-2807
Phone: (937) 390-7960
Fax: (937) 390-7971
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I0001049 | Ohio |
Profile Details
NPI number | 1043201023 |
---|---|
LBN Legal business name | Stickney, Ellen |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 31st, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043201023 | NPPES |
Ohio | Other | 0004519076 | AETNA |
Ohio | Other | 000000004558 | AETNA |
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