Ellis, Heidi Susan

Ellis, Heidi Susan is an individual health care provider with primary practice located at Naval Postgraduate School 8901 Wisconsin Ave, Bethesda MD 20889-5602. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Ellis, Heidi Susan can be contacted via phone (301) 295-0145.

Contact Information

Primary practice address
Naval Postgraduate School 8901 Wisconsin Ave Bethesda MD 20889-5602
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2901018715 Michigan

Profile Details

NPI number 1003891201
LBN Legal business name Ellis, Heidi Susan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Aug 5th, 2013 - about 12 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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