Conners, Elaine Ruth
Conners, Elaine Ruth is an sole proprietor health care provider with primary practice located at 947 Route 6A , Yarmouth Port MA 02675-2171. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Conners, Elaine Ruth can be contacted via phone (508) 362-3930.Contact Information
Primary practice address
947 Route 6A
Yarmouth Port MA 02675-2171
Phone: (508) 362-3930
Fax: (508) 362-3930
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 102825 | Massachusetts |
Profile Details
| NPI number | 1588671945 |
|---|---|
| LBN Legal business name | Conners, Elaine Ruth |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1588671945 | NPPES |
| Massachusetts | MEDICAID | 1857703 |
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