| Eleanor T. Howard, Llc | |
|
934 E Main Rd Portsmouth RI 02871-2348 | |
| (401) 683-2026 | |
| Not Available |
| Full Name | Eleanor T. Howard, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 934 E Main Rd, Portsmouth, Rhode Island |
| Authorized Official Name and Position | Eleanor Howard (OWNER) |
| Authorized Official Contact | 4018353694 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eleanor T. Howard, Llc 243 Wapping Rd Portsmouth RI 02871-5301 Ph: (401) 835-3694 | Eleanor T. Howard, Llc 934 E Main Rd Portsmouth RI 02871-2348 Ph: (401) 683-2026 |
| NPI Number | 1750664520 |
|---|---|
| Provider Enumeration Date | 09/27/2011 |
| Last Update Date | 09/27/2011 |
| Medicare PECOS PAC ID | 4284806050 |
|---|---|
| Medicare Enrollment ID | O20111020000758 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750664520 | NPI | - | NPPES |
| 809004883 | Other | RI | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | ISW01365 (Rhode Island) | Primary |
| Provider Name | Eleanor T Howard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760422018 PECOS PAC ID: 5193728327 Enrollment ID: I20060808000590 |
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