Ellis, Brenda Kay

Ellis, Brenda Kay is an sole proprietor health care provider with primary practice located at 1108 N Wheeler Ave , Sallisaw OK 74955-2227. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Ellis, Brenda Kay can be contacted via phone (918) 817-9787.

Contact Information

Primary practice address
1108 N Wheeler Ave Sallisaw OK 74955-2227
Fax: (918) 775-5526
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1295585974
LBN Legal business name Ellis, Brenda Kay
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2024
Last updated Mar 25th, 2024 - about last year

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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