Ellis, Hannah

Ellis, Hannah is an sole proprietor health care provider with primary practice located at 2817 Tobermory Ln , Raleigh NC 27606-4443. She recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as her primary health care specialty. Ellis, Hannah can be contacted via phone (919) 917-7681.

Contact Information

Primary practice address
2817 Tobermory Ln Raleigh NC 27606-4443
Fax: (919) 917-7681
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1306363601
LBN Legal business name Ellis, Hannah
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2017
Last updated Jun 16th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306363601 NPPES
North Carolina MEDICAID 273197674

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