Ellis, Howland Hiram
Ellis, Howland Hiram is an sole proprietor health care provider with primary practice located at 1015 Mar Walt Dr , Fort Walton Beach FL 32547-6738. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ellis, Howland Hiram can be contacted via phone (850) 259-9501.Contact Information
Primary practice address
1015 Mar Walt Dr
Fort Walton Beach FL 32547-6738
Phone: (850) 259-9501
Fax: (850) 994-6958
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW2913 | Florida |
Profile Details
| NPI number | 1346355930 |
|---|---|
| LBN Legal business name | Ellis, Howland Hiram |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Jul 8th, 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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