Ellis, Jacqueline Marion

Ellis, Jacqueline Marion is an individual health care provider with primary practice located at 90 Southside Ave Suite 225, Asheville NC 28801-4160. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Ellis, Jacqueline Marion can be contacted via phone (828) 254-3525.

Contact Information

Primary practice address
90 Southside Ave Suite 225 Asheville NC 28801-4160
Phone: (828) 254-3525
Fax: (828) 254-0792
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1710 North Carolina

Profile Details

NPI number 1699777672
LBN Legal business name Ellis, Jacqueline Marion
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Jul 8th, 2007 - about 18 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 1699777672 NPPES
North Carolina Other 078PW BCBS

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