Ellis, Courtney Dyan

Ellis, Courtney Dyan is an individual health care provider with primary practice located at 5172 Leavitt Rd , Lorain OH 44053-2384. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Ellis, Courtney Dyan can be contacted via phone (440) 282-7420.

Contact Information

Primary practice address
5172 Leavitt Rd Lorain OH 44053-2384
Phone: (440) 282-7420
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X COA.18102-NP Ohio

Profile Details

NPI number 1730550492
LBN Legal business name Ellis, Courtney Dyan
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2015
Last updated Oct 7th, 2015 - 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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