Ellis, Andrea

Ellis, Andrea is an individual health care provider with primary practice located at 1875 N Ridge Rd E , Lorain OH 44055-3371. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Ellis, Andrea can be contacted via phone (440) 260-6108.

Contact Information

Primary practice address
1875 N Ridge Rd E Lorain OH 44055-3371
Phone: (440) 260-6108
Fax: (440) 240-0193
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C.0700234.TEMP Ohio

Profile Details

NPI number 1699902775
LBN Legal business name Ellis, Andrea
Credentials PC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2009
Last updated Jun 16th, 2009 - about 16 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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