Ellis, Charles Wayne

Ellis, Charles Wayne is an individual health care provider with primary practice located at 199 S Herlong Ave , Rock Hill SC 29732-1186. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Ellis, Charles Wayne can be contacted via phone (803) 324-1800.

Contact Information

Primary practice address
199 S Herlong Ave Rock Hill SC 29732-1186
Phone: (803) 324-1800
Fax: (803) 328-3831
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1211149 South Carolina

Profile Details

NPI number 1164763777
LBN Legal business name Ellis, Charles Wayne
Credentials CACI, MAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2013
Last updated Mar 6th, 2013 - about 12 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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