Ellis, Corey
Ellis, Corey is an individual health care provider with primary practice located at 4620 Briarwood Dr , Charlottesville VA 22911-8359. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Ellis, Corey can be contacted via phone (434) 825-0305.Contact Information
Primary practice address
4620 Briarwood Dr
Charlottesville VA 22911-8359
Phone: (434) 825-0305
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 2306604241 | Virginia |
Profile Details
| NPI number | 1740648963 |
|---|---|
| LBN Legal business name | Ellis, Corey |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2016 |
| Last updated | Feb 2nd, 2016 - about 9 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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