- Practice location
- 391 Pomfret St, Putnam, CT 06260-1852
- Phone
- 860-731-5522
- Fax
- 860-731-5536
- Last updated
- December 16, 2024
Opal R Ellison is a Counselor based in Putnam, CT. Opal R Ellison practices in Putnam, CT. The NPI Number for Opal R Ellison is 1710794417. The current practice location address for Opal R Ellison is 391 Pomfret St, Putnam, CT 06260-1852 and can be reached out via phone at 860-731-5522 and via fax at 860-731-5536.
Provider Profile Details
- NPI Number
- 1710794417
- Provider Name
- Opal R Ellison
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 391 Pomfret St, Putnam, CT 06260-1852
- Phone Number
- 860-731-5522
- Fax Number
- 860-731-5536
- Primary Taxonomy
- Counselor · 101Y00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 16, 2024
- Last Update Date
- December 16, 2024
- Certification Date
- December 16, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 391 Pomfret St
Putnam, CT 06260-1852 - City
- Putnam
- State
- Connecticut
- Zip
- 06260-1852
- Phone Number
- 860-731-5522
- Fax Number
- 860-731-5536
Provider Business Mailing Address Details
- Address
- 2 Waterside Xing Ste 401
Windsor, CT 06095-1588 - City
- Windsor
- State
- CT
- Zip
- 06095-1588
- Phone Number
- 860-697-3351
- Fax Number
- 860-731-5536
License Information
- Taxonomy
- Counselor · 101Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselors near Putnam, CT
View all Counselors in Putnam →Frequently Asked Questions
What is the NPI number of Opal R Ellison?
The NPI number of Opal R Ellison is 1710794417. It was assigned on December 16, 2024 and is currently active in the NPPES registry.
What is the specialty of Opal R Ellison?
Opal R Ellison is registered under the primary taxonomy Counselor (code 101Y00000X).
Where does Opal R Ellison practice?
The practice location is 391 Pomfret St, Putnam, CT 06260-1852. The office can be reached at 860-731-5522 (phone) or 860-731-5536 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710794417 directly on the NPPES registry website.