Ellis, Claire E

Ellis, Claire E is an individual health care provider with primary practice located at 4101 Technology Ave , New Albany IN 47150-8548. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Ellis, Claire E can be contacted via phone (812) 590-3334.

Contact Information

Primary practice address
4101 Technology Ave New Albany IN 47150-8548
Phone: (812) 590-3334
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3009301 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71005890A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71005890A Indiana

Profile Details

NPI number 1740677558
LBN Legal business name Ellis, Claire E
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2015
Last updated Feb 24th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740677558 NPPES
Kentucky MEDICAID 7100374130
Kentucky MEDICAID 201361760

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