Thompson, Elsa E

Thompson, Elsa E is an sole proprietor health care provider with primary practice located at 520 Nye Ave , Irvington NJ 07111-3511. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Thompson, Elsa E can be contacted via phone (347) 543-1238.

Contact Information

Primary practice address
520 Nye Ave Irvington NJ 07111-3511
Phone: (347) 543-1238
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1548891187
LBN Legal business name Thompson, Elsa E
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2020
Last updated Feb 2nd, 2020 - about 4 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 1548891187 NPPES
New York MEDICAID 103K00000X

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