Ellis, Deborah A

Ellis, Deborah A is an individual health care provider with primary practice located at 301 Great Teays Blvd Ste 6 , Scott Depot WV 25560-9552. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Ellis, Deborah A can be contacted via phone (304) 757-6999.

Contact Information

Primary practice address
301 Great Teays Blvd Ste 6 Scott Depot WV 25560-9552
Phone: (304) 757-6999
Fax: (304) 201-5019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1275839979
LBN Legal business name Ellis, Deborah A
Credentials BS, ICCE
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2011
Last updated Jan 28th, 2011 - about 14 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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