Wilfred, Whitney Simone

Wilfred, Whitney Simone is an individual health care provider with primary practice located at 91 Northwest Dr , Plainville CT 06062-1534. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wilfred, Whitney Simone can be contacted via phone (860) 793-3500.

Contact Information

Primary practice address
91 Northwest Dr Plainville CT 06062-1534
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1013254291
LBN Legal business name Wilfred, Whitney Simone
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2013
Last updated Nov 22nd, 2019 - about 7 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 1013254291 NPPES
Connecticut MEDICAID 1013254291

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