Ferola, Corinne B
Ferola, Corinne B is an sole proprietor health care provider with primary practice located at 61 Bradley St , Bristol CT 06010-5103. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ferola, Corinne B can be contacted via phone (860) 841-6238.Contact Information
Primary practice address
61 Bradley St
Bristol CT 06010-5103
Phone: (860) 841-6238
Fax: (860) 584-2287
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 000241 | Connecticut |
Profile Details
| NPI number | 1275510539 |
|---|---|
| LBN Legal business name | Ferola, Corinne B |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Dec 17th, 2012 - about 14 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 | 1275510539 | NPPES |
| Connecticut | Other | 140000241CT03 | ANTHEM BCBS |
| Connecticut | MEDICAID | 004224987 | ANTHEM BCBS |
| Connecticut | Other | 241651 | ANTHEM BCBS |
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