Ellis, Bryan

Ellis, Bryan is an individual health care provider with primary practice located at 680 E Main St Ste 201 , Lehi UT 84043-2251. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ellis, Bryan can be contacted via phone (801) 768-8800.

Contact Information

Primary practice address
680 E Main St Ste 201 Lehi UT 84043-2251
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 12537569-1206 Utah

Profile Details

NPI number 1174288575
LBN Legal business name Ellis, Bryan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2021
Last updated Feb 10th, 2023 - 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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