Ellis, Jaquan
Ellis, Jaquan is an sole proprietor health care provider with primary practice located at 312 Jackson Ave N , Hopkins MN 55343-8306. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Ellis, Jaquan can be contacted via phone (651) 508-6356.Contact Information
Primary practice address
312 Jackson Ave N
Hopkins MN 55343-8306
Phone: (651) 508-6356
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X | PCA78474320190817 | Minnesota |
Profile Details
| NPI number | 1023685963 |
|---|---|
| LBN Legal business name | Ellis, Jaquan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2021 |
| Last updated | Jun 9th, 2021 - about 4 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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