Burress, Dieago Ellis
Burress, Dieago Ellis is an individual health care provider with primary practice located at 5784 Fisher Dr Apt B , Huber Heights OH 45424-5576. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Burress, Dieago Ellis can be contacted via phone (937) 312-5494.Contact Information
Primary practice address
5784 Fisher Dr Apt B
Huber Heights OH 45424-5576
Phone: (937) 312-5494
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X |
Profile Details
| NPI number | 1578348926 |
|---|---|
| LBN Legal business name | Burress, Dieago Ellis |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2023 |
| Last updated | Aug 25th, 2023 - about last year |
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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