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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174034615 NPPES
New Jersey MEDICAID 0029807

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