Ellis, Eric Daniel

Ellis, Eric Daniel is an sole proprietor health care provider with primary practice located at 414 Bryan St , Havertown PA 19083-4311. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Ellis, Eric Daniel can be contacted via phone (484) 680-6341.

Contact Information

Primary practice address
414 Bryan St Havertown PA 19083-4311
Phone: (484) 680-6341
Fax: (610) 359-1686
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X RT004288 Pennsylvania

Profile Details

NPI number 1154741692
LBN Legal business name Ellis, Eric Daniel
Credentials MS, LAT, ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2014
Last updated Apr 23rd, 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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