Ellis, Brianna Susan
Ellis, Brianna Susan is an sole proprietor health care provider with primary practice located at 976 University Dr Side A , Edwardsville IL 62025-5541. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Ellis, Brianna Susan can be contacted via phone (309) 645-7233.Contact Information
Primary practice address
976 University Dr Side A
Edwardsville IL 62025-5541
Phone: (309) 645-7233
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1841922200 |
|---|---|
| LBN Legal business name | Ellis, Brianna Susan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 25th, 2022 |
| Last updated | Jun 25th, 2022 - 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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