Ellis, Eddie

Ellis, Eddie is an sole proprietor health care provider with primary practice located at 8808 W Mill Rd Apt 1 , Milwaukee WI 53225-1853. He recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as his primary health care specialty. Ellis, Eddie can be contacted via phone (414) 610-4318.

Contact Information

Primary practice address
8808 W Mill Rd Apt 1 Milwaukee WI 53225-1853
Phone: (414) 610-4318
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X

Profile Details

NPI number 1972919009
LBN Legal business name Ellis, Eddie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2014
Last updated Jul 9th, 2014 - about 11 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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