Wormser, Ellen J

Wormser, Ellen J is an individual health care provider with primary practice located at 374 Grand Avenue Fair Haven Community Health Ctr, New Haven CT 06513. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Other Service Providers / Midwife. Other Service Providers / Midwife is her primary health care specialty. Wormser, Ellen J can be contacted via phone (203) 777-7411.

Contact Information

Primary practice address
374 Grand Avenue Fair Haven Community Health Ctr New Haven CT 06513
Phone: (203) 777-7411
Fax: (203) 777-8506
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 000054 Connecticut
Other Service Providers / Midwife 176B00000X

Profile Details

NPI number 1043303258
LBN Legal business name Wormser, Ellen J
Credentials CNM LNM
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jan 20th, 2023 - about last year

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 1043303258 NPPES
Other 0000549734 CT CARE
Other 183840 CT CARE
Other 400000054CT01 CT CARE
Other P523092 CT CARE

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