Ellett, John
Ellett, John is an individual health care provider with primary practice located at 1220 Coit Rd Suite 102, Plano TX 75075-7757. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, which is considered as his primary health care specialty. Ellett, John can be contacted via phone (972) 769-8344.Contact Information
Primary practice address
1220 Coit Rd Suite 102
Plano TX 75075-7757
Phone: (972) 769-8344
Fax: (972) 769-0644
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist | 222Z00000X | 1305 | Texas |
Profile Details
NPI number | 1750788089 |
---|---|
LBN Legal business name | Ellett, John |
Credentials | LPO |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 2nd, 2014 |
Last updated | Dec 2nd, 2014 - about 11 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 | 1750788089 | NPPES |
Texas | MEDICAID | 0110686-01 | |
Texas | Other | 1276950002 |
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