Ellis, Amanda

Ellis, Amanda is an sole proprietor health care provider with primary practice located at 381 East Brook Street , San Tan Valley AZ 85140. She recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities, which is considered as her primary health care specialty. Ellis, Amanda can be contacted via phone (480) 495-2839.

Contact Information

Primary practice address
381 East Brook Street San Tan Valley AZ 85140
Phone: (480) 495-2839
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X D05686544 Arizona

Profile Details

NPI number 1194198697
LBN Legal business name Ellis, Amanda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 5th, 2015
Last updated Nov 5th, 2015 - about 10 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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