Ellis, Earl Edward

Ellis, Earl Edward is an individual health care provider with primary practice located at 890 Rineyville Rd , Elizabethtown KY 42701-8927. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Ellis, Earl Edward can be contacted via phone (270) 234-9236.

Contact Information

Primary practice address
890 Rineyville Rd Elizabethtown KY 42701-8927
Phone: (270) 234-9236
Fax: (270) 234-8367
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0952 Kentucky

Profile Details

NPI number 1013111459
LBN Legal business name Ellis, Earl Edward
Credentials M.ED., LPA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2007
Last updated Aug 29th, 2013 - about 12 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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