Uber, Susan Rebecca

Uber, Susan Rebecca is an sole proprietor health care provider with primary practice located at 11 S Main St , Middletown CT 06457-3656. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Uber, Susan Rebecca can be contacted via phone (860) 347-4633.

Contact Information

Primary practice address
11 S Main St Middletown CT 06457-3656
Phone: (860) 347-4633
Fax: (860) 343-9144
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X CT1083 Connecticut

Profile Details

NPI number 1851300958
LBN Legal business name Uber, Susan Rebecca
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2006
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 1851300958 NPPES
Connecticut Other 037247 MHN
Connecticut Other V-316S MHN
Connecticut Other MIS014 MHN
Connecticut Other 060001083CT01 MHN
Connecticut Other 223412 MHN
Connecticut Other 544802 MHN
Connecticut Other 040799 MHN

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