Ellis, Brandon

Ellis, Brandon is an individual health care provider with primary practice located at 453 Eatonville Rd , Hattiesburg MS 39401-9754. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Kinesiotherapist, which is considered as his primary health care specialty. Ellis, Brandon can be contacted via phone (601) 434-2229.

Contact Information

Primary practice address
453 Eatonville Rd Hattiesburg MS 39401-9754
Phone: (601) 434-2229
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Kinesiotherapist 226300000X

Profile Details

NPI number 1801459946
LBN Legal business name Ellis, Brandon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2019
Last updated Apr 15th, 2019 - about 6 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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