Ellis, Anthony Jerome
Ellis, Anthony Jerome is an sole proprietor health care provider with primary practice located at 923 W Foothill Blvd , Upland CA 91786-3729. He recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as his primary health care specialty. Ellis, Anthony Jerome can be contacted via phone (909) 982-3434.Contact Information
Primary practice address
923 W Foothill Blvd
Upland CA 91786-3729
Phone: (909) 982-3434
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Prosthetics Case Management | 1744P3200X | California |
Profile Details
| NPI number | 1124311162 |
|---|---|
| LBN Legal business name | Ellis, Anthony Jerome |
| Credentials | Certified Psychologist (CP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2011 |
| Last updated | May 24th, 2011 - about 13 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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