Ellis, John Paul
Ellis, John Paul is an individual health care provider with primary practice located at 1108 Grand Avenue #2, St Paul MN 55105-2614. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Ellis, John Paul can be contacted via phone (651) 228-0218.Contact Information
Primary practice address
1108 Grand Avenue #2
St Paul MN 55105-2614
Phone: (651) 228-0218
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP1642 | Minnesota |
Profile Details
| NPI number | 1962619031 |
|---|---|
| LBN Legal business name | Ellis, John Paul |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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