Ellis, Katherine L
Ellis, Katherine L is an sole proprietor health care provider with primary practice located at 1200 Reba Mcentire Dr , Denison TX 75020-9057. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Ellis, Katherine L can be contacted via phone (903) 416-1025.Contact Information
Primary practice address
1200 Reba Mcentire Dr
Denison TX 75020-9057
Phone: (903) 416-1025
Fax: (903) 327-8023
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | J3091 | Texas |
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | J3091 | Texas |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X | J3091 | Texas |
Profile Details
NPI number | 1871570101 |
---|---|
LBN Legal business name | Ellis, Katherine L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 28th, 2005 |
Last updated | Jan 3rd, 2012 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871570101 | NPPES |
Texas | MEDICAID | 099349501 |
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