Ellensohn, Andrea Jean

Ellensohn, Andrea Jean is an sole proprietor health care provider with primary practice located at 1819 S Dobson Rd Ste 212, Mesa AZ 85202-5664. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Ellensohn, Andrea Jean can be contacted via phone (480) 456-0719.

Contact Information

Primary practice address
1819 S Dobson Rd Ste 212 Mesa AZ 85202-5664
Phone: (480) 456-0719
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 1051 Arizona

Profile Details

NPI number 1043336167
LBN Legal business name Ellensohn, Andrea Jean
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2007
Last updated Jul 9th, 2007 - about 18 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 1043336167 NPPES
Arizona MEDICAID 947442

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