Ellis, Ethel Bogan

Ellis, Ethel Bogan is an sole proprietor health care provider with primary practice located at 1110 Kingston Drive , Wharton TX 77488-5708. She recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as her primary health care specialty. Ellis, Ethel Bogan can be contacted via phone (979) 532-3720.

Contact Information

Primary practice address
1110 Kingston Drive Wharton TX 77488-5708
Phone: (979) 532-3720
Fax: (979) 532-3720
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1780883553
LBN Legal business name Ellis, Ethel Bogan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2007
Last updated Jul 12th, 2007 - about 17 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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