Ellis, Alisa

Ellis, Alisa is an individual health care provider with primary practice located at 2001 S Woodruff Ave Suite 6, Idaho Falls ID 83404-6374. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Ellis, Alisa can be contacted via phone (208) 529-4673.

Contact Information

Primary practice address
2001 S Woodruff Ave Suite 6 Idaho Falls ID 83404-6374
Phone: (208) 529-4673
Fax: (208) 529-4676
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LCPC-3497 Idaho

Profile Details

NPI number 1881879039
LBN Legal business name Ellis, Alisa
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2008
Last updated Jan 7th, 2008 - about 17 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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