Ide Witkowski, Lauren A

Ide Witkowski, Lauren A is an individual health care provider with primary practice located at 49 Broad St , Plainville CT 06062-4201. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ide Witkowski, Lauren A can be contacted via phone (617) 942-0461.

Contact Information

Primary practice address
49 Broad St Plainville CT 06062-4201
Phone: (617) 942-0461
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1184984577
LBN Legal business name Ide Witkowski, Lauren A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2012
Last updated Jan 9th, 2025 - about last year

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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