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
Fax: (937) 390-7971
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043201023 NPPES
Ohio Other 0004519076 AETNA
Ohio Other 000000004558 AETNA

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