Ellis, Jessica Dyanne
Ellis, Jessica Dyanne is an sole proprietor health care provider with primary practice located at 800 E Main St , Locust Grove OK 74352-5184. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Ellis, Jessica Dyanne can be contacted via phone (918) 479-4815.Contact Information
Primary practice address
800 E Main St
Locust Grove OK 74352-5184
Phone: (918) 479-4815
Fax: (918) 479-4817
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist | 183500000X | 15269 | Oklahoma |
Profile Details
NPI number | 1659976546 |
---|---|
LBN Legal business name | Ellis, Jessica Dyanne |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 1st, 2020 |
Last updated | Dec 1st, 2020 - 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.
Popular Providers
-
Mckay, Kody Zack
1119 S Main St , Grove OK 74344-2801 -
Struble, Emily Michelle
2115 S Main St , Grove OK 74344-5327 -
Moss, Chelsi
Walmart Pharmacy 800 E Main St, Locust Grove OK 74352 -
Barlow, Lisa M
901 S Main St , Grove OK 74344-2845 -
Schafer, Richard Charles
1119 S Main St , Grove OK 74344-2801 -
Rector, Jack Louis
2115 S Main St , Grove OK 74344-5327 -
Wadley, Terri L
2115 S Main St , Grove OK 74344-5327 -
Geer, Kerri
2115 S Main St , Grove OK 74344-5327