Ellis, Ann Peyton

Ellis, Ann Peyton is an individual health care provider with primary practice located at 600 N Grand Ave , Tahlequah OK 74464-2301. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Ellis, Ann Peyton can be contacted via phone (918) 456-5511.

Contact Information

Primary practice address
600 N Grand Ave Tahlequah OK 74464-2301
Phone: (918) 456-5511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1184152027
LBN Legal business name Ellis, Ann Peyton
Credentials LAT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2017
Last updated May 23rd, 2017 - about 8 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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