Ellis, Colleen

Ellis, Colleen is an individual health care provider with primary practice located at 2201 Sw 29Th St , Topeka KS 66611. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ellis, Colleen can be contacted via phone (785) 266-6806.

Contact Information

Primary practice address
2201 Sw 29Th St Topeka KS 66611
Fax: (785) 266-6546
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LSCSW632 Kansas

Profile Details

NPI number 1295708063
LBN Legal business name Ellis, Colleen
Credentials LSCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295708063 NPPES
Kansas Other 011064 BCBS

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