Zelisko, Richard
Zelisko, Richard is an sole proprietor health care provider with primary practice located at 51 N Main St , Southington CT 06489-2537. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Zelisko, Richard can be contacted via phone (203) 988-8842.Contact Information
Primary practice address
51 N Main St
Southington CT 06489-2537
Phone: (203) 988-8842
Fax: (203) 439-0557
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 002045 | Connecticut |
Profile Details
| NPI number | 1326107855 |
|---|---|
| LBN Legal business name | Zelisko, Richard |
| Credentials | LCSW, LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Jan 22nd, 2010 - about 15 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 | 1326107855 | NPPES |
| Connecticut | Other | 140002012CT02 | BCBS |
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