Ellis, Jennifer Dawn

Ellis, Jennifer Dawn is an individual health care provider with primary practice located at 629 S Plummer Ave , Chanute KS 66720-1928. 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, Jennifer Dawn can be contacted via phone (620) 432-5378.

Contact Information

Primary practice address
629 S Plummer Ave Chanute KS 66720-1928
Phone: (620) 432-5378
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 11-03174 Kansas

Profile Details

NPI number 1073721122
LBN Legal business name Ellis, Jennifer Dawn
Credentials MS PT
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
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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