Ellerd, Ruth Anne
Ellerd, Ruth Anne is an sole proprietor health care provider with primary practice located at 28 N Country Rd , Mount Sinai NY 11766-1518. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ellerd, Ruth Anne can be contacted via phone (631) 375-5663.Contact Information
Primary practice address
28 N Country Rd
Mount Sinai NY 11766-1518
Phone: (631) 375-5663
Fax: (631) 473-0733
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R055718-1 | New York |
Profile Details
| NPI number | 1972573491 |
|---|---|
| LBN Legal business name | Ellerd, Ruth Anne |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Jan 22nd, 2015 - about 11 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 | 1972573491 | NPPES |
| New York | MEDICAID | 02-53-9427 |
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