Stephens, Ellen

Stephens, Ellen is an individual health care provider with primary practice located at 115 Liberty St , Bath NY 14810-1508. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Stephens, Ellen can be contacted via phone (607) 776-6577.

Contact Information

Primary practice address
115 Liberty St Bath NY 14810-1508
Phone: (607) 776-6577
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F400821-1 New York

Profile Details

NPI number 1598863136
LBN Legal business name Stephens, Ellen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jan 20th, 2010 - about 16 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 1598863136 NPPES
New York MEDICAID 0F400821

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