Ellis, Anthony

Ellis, Anthony is an sole proprietor health care provider with primary practice located at 7271 Engle Rd , Middleburg Heights OH 44130-8488. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Ellis, Anthony can be contacted via phone (614) 339-1649.

Contact Information

Primary practice address
7271 Engle Rd Middleburg Heights OH 44130-8488
Phone: (614) 339-1649
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1780254623
LBN Legal business name Ellis, Anthony
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2021
Last updated Jul 1st, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780254623 NPPES
Ohio MEDICAID 2910854

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