Ellis, Jean

Ellis, Jean is an sole proprietor health care provider with primary practice located at 3804 N Land Ave , Oklahoma City OK 73112-6515. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Ellis, Jean can be contacted via phone (405) 820-6156.

Contact Information

Primary practice address
3804 N Land Ave Oklahoma City OK 73112-6515
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1770979262
LBN Legal business name Ellis, Jean
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2015
Last updated Apr 10th, 2015 - about 9 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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