Goodine, Marie Ellen
Goodine, Marie Ellen is an sole proprietor health care provider with primary practice located at 1177 Silas Deane Hwy Ste 3 , Wethersfield CT 06109-4332. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Goodine, Marie Ellen can be contacted via phone (860) 837-0401.Contact Information
Primary practice address
1177 Silas Deane Hwy Ste 3
Wethersfield CT 06109-4332
Phone: (860) 837-0401
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2733 | Connecticut |
Profile Details
| NPI number | 1023642998 |
|---|---|
| LBN Legal business name | Goodine, Marie Ellen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 28th, 2020 |
| Last updated | Feb 28th, 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.
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