Klein-South, Ellen Margo

Klein-South, Ellen Margo is an sole proprietor health care provider with primary practice located at 3881 Ne Sugarhill Ave , Jensen Beach FL 34957-3731. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Klein-South, Ellen Margo can be contacted via phone (772) 334-4035.

Contact Information

Primary practice address
3881 Ne Sugarhill Ave Jensen Beach FL 34957-3731
Phone: (772) 334-4035
Fax: (772) 334-4036
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X SS0000535 Florida

Profile Details

NPI number 1679872394
LBN Legal business name Klein-South, Ellen Margo
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2011
Last updated Mar 21st, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679872394 NPPES
Florida Other Z127B BLUE CROSS/ BLUE SHIELD INSURANCE

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