Ellis, Jennifer Jan

Ellis, Jennifer Jan is an individual health care provider with primary practice located at 2699 Lee Rd Suite 100, Winter Park FL 32789-1753. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Ellis, Jennifer Jan can be contacted via phone (407) 897-1363.

Contact Information

Primary practice address
2699 Lee Rd Suite 100 Winter Park FL 32789-1753
Phone: (407) 897-1363
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AL 1049 Florida

Profile Details

NPI number 1528341831
LBN Legal business name Ellis, Jennifer Jan
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2011
Last updated Sep 22nd, 2011 - about 14 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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