Rambo, Elisa M

Rambo, Elisa M is an individual health care provider with primary practice located at 680 E Main St # 599 , Stamford CT 06901-2113. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Rambo, Elisa M can be contacted via phone (480) 347-2570.

Contact Information

Primary practice address
680 E Main St # 599 Stamford CT 06901-2113
Phone: (480) 347-2570
Fax: (480) 865-2329
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A94203 California
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 042592 Connecticut

Profile Details

NPI number 1164467866
LBN Legal business name Rambo, Elisa M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Mar 7th, 2023 - about 3 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 1164467866 NPPES
Connecticut Other 042592 CONNECTICUT LICENSE NUMBER
Connecticut Other A94203 CONNECTICUT LICENSE NUMBER

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