Abebe, Bisrat
Abebe, Bisrat is an individual health care provider with primary practice located at 336 N Main St , West Hartford CT 06117-2675. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Abebe, Bisrat can be contacted via phone (860) 696-4400.Contact Information
Primary practice address
336 N Main St
West Hartford CT 06117-2675
Phone: (860) 696-4400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 10900 | Connecticut |
Profile Details
| NPI number | 1649336652 |
|---|---|
| LBN Legal business name | Abebe, Bisrat |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Feb 17th, 2020 - about 6 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 | 1649336652 | NPPES |
| Connecticut | Other | 10900 | CT LICENSE |
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