Ellickson, Ellen B
Ellickson, Ellen B is an individual health care provider with primary practice located at 1245 15Th St N , Saint Cloud MN 56303-1802. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Ellickson, Ellen B can be contacted via phone (320) 203-2087.Contact Information
Primary practice address
1245 15Th St N
Saint Cloud MN 56303-1802
Phone: (320) 203-2087
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | R 059057-8 | Minnesota |
Profile Details
| NPI number | 1578747085 |
|---|---|
| LBN Legal business name | Ellickson, Ellen B |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2007 |
| Last updated | Dec 19th, 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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