Ellis, Emilie Bonovitch

Ellis, Emilie Bonovitch is an individual health care provider with primary practice located at 27 Briggs Dr Ste A , Manakin Sabot VA 23103-2250. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Ellis, Emilie Bonovitch can be contacted via phone (804) 784-2386.

Contact Information

Primary practice address
27 Briggs Dr Ste A Manakin Sabot VA 23103-2250
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 0402206328 Virginia

Profile Details

NPI number 1033888201
LBN Legal business name Ellis, Emilie Bonovitch
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2021
Last updated Sep 10th, 2021 - about 4 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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