Boyd, Ellise Jeannette
Boyd, Ellise Jeannette is an sole proprietor health care provider with primary practice located at 300 Ruby St , Joliet IL 60435-6228. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Boyd, Ellise Jeannette can be contacted via phone (708) 510-1287.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | 549055 | Illinois |
Profile Details
| NPI number | 1811543713 |
|---|---|
| LBN Legal business name | Boyd, Ellise Jeannette |
| Credentials | MAED |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2019 |
| Last updated | Oct 6th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811543713 | NPPES |
| Illinois | Other | 549055 | FAMILY AND PARENTING SUPPORT SERVICES |
| Illinois | Other | 549055 | FAMILY AND PARENTING SUPPORT SERVICES |
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