Twigg-Patrick, Ellen M
Twigg-Patrick, Ellen M is an sole proprietor health care provider with primary practice located at 1808 Ridge Road , Forked River NJ 08731-0873. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Twigg-Patrick, Ellen M can be contacted via phone (732) 859-8915.Contact Information
Primary practice address
1808 Ridge Road
Forked River NJ 08731-0873
Phone: (732) 859-8915
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 44SLO622600 | New Jersey |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 44SLO6222600 | New Jersey |
Profile Details
NPI number | 1174034615 |
---|---|
LBN Legal business name | Twigg-Patrick, Ellen M |
Credentials | LSW: 10/17/2016 |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 23rd, 2017 |
Last updated | Oct 23rd, 2017 - about 7 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 | 1174034615 | NPPES |
New Jersey | MEDICAID | 0029807 |
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