Ellis, Jennifer

Ellis, Jennifer is an individual health care provider with primary practice located at 1562 Mitscher Ave Suite 250, Norfolk VA 23551-2421. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Ellis, Jennifer can be contacted via phone (904) 270-5602.

Contact Information

Primary practice address
1562 Mitscher Ave Suite 250 Norfolk VA 23551-2421
Phone: (904) 270-5602
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5536-015 Wisconsin

Profile Details

NPI number 1811998321
LBN Legal business name Ellis, Jennifer
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 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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