Ellsworth, Beth
Ellsworth, Beth is an individual health care provider with primary practice located at 85 Middle Rd , Cumberland ME 04021-3707. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Ellsworth, Beth can be contacted via phone (207) 829-8007.Contact Information
Primary practice address
85 Middle Rd
Cumberland ME 04021-3707
Phone: (207) 829-8007
Fax: (207) 829-8008
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP667 | Maine |
Profile Details
| NPI number | 1083836548 |
|---|---|
| LBN Legal business name | Ellsworth, Beth |
| Credentials | M.A., CCC, SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2007 |
| Last updated | Jul 8th, 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 | 1083836548 | NPPES |
| Maine | MEDICAID | 23494099 |
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