Ellis, Elizabeth Elaine
Ellis, Elizabeth Elaine is an individual health care provider with primary practice located at 7950 Marne Rd , Fort Benning GA 31905-3175. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ellis, Elizabeth Elaine can be contacted via phone (762) 408-2610.Contact Information
Primary practice address
7950 Marne Rd
Fort Benning GA 31905-3175
Phone: (762) 408-2610
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I 06307 | New Mexico |
Profile Details
| NPI number | 1750458063 |
|---|---|
| LBN Legal business name | Ellis, Elizabeth Elaine |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Nov 18th, 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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